CMS Formulary

Displaying 26871-26880 of 1611142 results.
ID: 26871
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26872
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 800192
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26873
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26874
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 309090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26875
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 309092
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26876
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26877
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 311683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26878
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 727575
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26879
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1040012
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26880
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1040016
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0