CMS Formulary

Displaying 25261-25270 of 1611142 results.
ID: 25261
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25262
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25263
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1792393
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25264
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25265
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604352
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25266
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 825335
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25267
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 825333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25268
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 825325
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25269
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 825334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25270
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 212118
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0