CMS Formulary

Displaying 23471-23480 of 1611142 results.
ID: 23471
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 801136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23472
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1799706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23473
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 805131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23474
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 801648
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23475
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 800420
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23476
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 800405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23477
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1090639
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23478
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 800438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23479
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 800444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23480
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 801012
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0