CMS Formulary

Displaying 19611-19620 of 1611142 results.
ID: 19611
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 763489
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19612
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 996559
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19613
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 762833
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19614
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 762836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19615
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 762839
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19616
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 762843
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19617
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 762875
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19618
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 762849
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19619
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 762852
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19620
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 762859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0