CMS Formulary

Displaying 25551-25560 of 1611142 results.
ID: 25551
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1361615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25552
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1361226
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25553
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 861363
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25554
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 861365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25555
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 861356
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25556
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1737244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25557
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 1737581
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25558
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25559
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 404419
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25560
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 106351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0