CMS Formulary

Displaying 27381-27390 of 1611142 results.
ID: 27381
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27382
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27383
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27384
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27385
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27386
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27387
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27388
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27389
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27390
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0