CMS Formulary

Displaying 22041-22050 of 1611142 results.
ID: 22041
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1726214
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22042
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22043
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22044
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1726204
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22045
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 312821
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22046
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 204509
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22047
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 312069
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22048
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 312070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22049
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1117522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22050
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1664981
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0