CMS Formulary

Displaying 22801-22810 of 1611142 results.
ID: 22801
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1799230
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22802
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1925255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22803
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1925257
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22804
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1598989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22805
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22806
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1992428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22807
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 213282
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22808
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 213283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22809
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 213284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 22810
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 859865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0