CMS Formulary

Displaying 24681-24690 of 1611142 results.
ID: 24681
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 308973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24682
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 858824
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24683
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 858828
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24684
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 308976
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24685
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 834348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24686
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24687
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 310380
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24688
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1313112
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24689
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 855671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 24690
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 311679
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0