CMS Formulary

Displaying 27461-27470 of 1611142 results.
ID: 27461
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 854919
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27462
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 854908
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27463
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 201708
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27464
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 248420
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27465
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 351172
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27466
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 199422
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27467
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 200082
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27468
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 199663
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27469
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 905199
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27470
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 905225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0