CMS Formulary

Displaying 20361-20370 of 1611142 results.
ID: 20361
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 307719
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20362
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 831430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20363
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1807516
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20364
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20365
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20366
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20367
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20368
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 800192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20369
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20370
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 309090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0