CMS Formulary

Displaying 23871-23880 of 1611142 results.
ID: 23871
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 992459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23872
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 311678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23873
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1085728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23874
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1191315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23875
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 628953
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23876
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 381056
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23877
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 206842
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23878
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 198316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23879
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 359296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23880
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 308212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0