CMS Formulary

Displaying 19641-19650 of 1611142 results.
ID: 19641
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19642
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876406
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19643
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2375329
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19644
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099302
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19645
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2003757
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19646
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 2003767
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19647
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1797880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19648
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1113046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19649
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 863836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19650
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 863841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0