CMS Formulary

Displaying 19711-19720 of 1611142 results.
ID: 19711
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197580
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19712
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197581
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19713
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197582
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19714
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19715
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 310429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19716
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197860
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19717
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19718
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197862
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19719
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 105585
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19720
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197931
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0