CMS Formulary

Displaying 25291-25300 of 1611142 results.
ID: 25291
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 312447
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25292
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 597823
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25293
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1726214
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25294
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25295
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25296
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1726204
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25297
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 312821
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25298
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 204509
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25299
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 312069
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25300
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 312070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0