CMS Formulary

Displaying 20051-20060 of 1611142 results.
ID: 20051
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 313797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20052
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 239191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20053
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665052
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20054
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20055
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20056
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 313920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20057
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 106258
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20058
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 203105
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20059
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197409
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20060
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0