CMS Formulary

Displaying 18681-18690 of 1611142 results.
ID: 18681
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 831255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18682
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 831309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18683
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 831338
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18684
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 831196
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18685
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 831248
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18686
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 831300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18687
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 831325
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18688
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 831349
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18689
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801298
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18690
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801294
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0