CMS Formulary

Displaying 26991-27000 of 1611142 results.
ID: 26991
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26992
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26993
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26994
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1095362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26995
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 753482
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26996
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 750268
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26997
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 761977
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26998
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 750265
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 26999
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 762001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27000
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 762334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0