CMS Formulary

Displaying 21571-21580 of 1611142 results.
ID: 21571
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21572
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21573
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21574
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21575
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21576
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1492746
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21577
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 727542
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21578
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 727545
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21579
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605455
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21580
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649946
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0