CMS Formulary

Displaying 22501-22510 of 1611142 results.
ID: 22501
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1245919
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22502
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242786
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22503
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 200329
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22504
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 864681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22505
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 307731
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22506
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 864675
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22507
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 835726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22508
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 349373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22509
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 857216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22510
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 857224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0