CMS Formulary

Displaying 26111-26120 of 1611142 results.
ID: 26111
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 404459
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26112
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1549456
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26113
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1549454
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26114
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 205562
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26115
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 763489
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26116
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 996559
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26117
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 762833
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26118
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 762836
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26119
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 762839
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26120
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 762843
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0