CMS Formulary

Displaying 24151-24160 of 1611142 results.
ID: 24151
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310015
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24152
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1150836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24153
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2118539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24154
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 864650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24155
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 308511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24156
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1375922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24157
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 204423
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24158
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24159
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 314165
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24160
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 226343
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0