CMS Formulary

Displaying 27121-27130 of 1611142 results.
ID: 27121
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 198159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27122
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1191256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27123
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 992459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27124
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 311678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27125
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1085728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27126
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1191315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27127
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 628953
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27128
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 381056
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27129
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 206842
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27130
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 198316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0