CMS Formulary

Displaying 18791-18800 of 1611142 results.
ID: 18791
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18792
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1726204
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18793
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 312821
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18794
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 204509
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18795
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 312069
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18796
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 312070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18797
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1117522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18798
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1664981
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18799
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 859871
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18800
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 204416
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0