CMS Formulary

Displaying 26861-26870 of 1611142 results.
ID: 26861
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1191234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26862
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1724338
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26863
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658637
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26864
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 307718
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26865
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 307719
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26866
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 831430
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26867
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1807516
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26868
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26869
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26870
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0