CMS Formulary

Displaying 19651-19660 of 1611142 results.
ID: 19651
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 863829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19652
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373327
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19653
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 905164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19654
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 688242
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19655
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 208513
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19656
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 404550
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19657
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 150840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19658
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 208949
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19659
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 202301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19660
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0