CMS Formulary

Displaying 25611-25620 of 1611142 results.
ID: 25611
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 105171
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25612
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 995599
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25613
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 995607
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25614
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 307650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25615
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 309097
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25616
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 309098
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25617
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 312940
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25618
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 309080
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25619
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 309081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 25620
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 197452
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0