CMS Formulary

Displaying 24671-24680 of 1611142 results.
ID: 24671
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 103456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24672
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310891
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24673
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 308979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24674
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197686
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24675
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197303
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24676
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24677
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197853
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24678
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 858813
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24679
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 858817
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24680
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 858810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0