CMS Formulary

Displaying 23051-23060 of 1611142 results.
ID: 23051
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23052
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 835896
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23053
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 835835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23054
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115468
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23055
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926069
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23056
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115259
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23057
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23058
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115464
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23059
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23060
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0