CMS Formulary

Displaying 20601-20610 of 1611142 results.
ID: 20601
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 199167
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20602
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 199164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20603
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 763181
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20604
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 763179
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20605
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 763185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20606
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 763183
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20607
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 861424
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20608
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1047040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20609
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1047041
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20610
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1727569
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0