CMS Formulary

Displaying 19551-19560 of 1611142 results.
ID: 19551
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1925257
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19552
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1598989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19553
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19554
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1992428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19555
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 213282
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19556
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 213283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19557
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 213284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19558
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 859865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19559
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 352297
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19560
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 731328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0