CMS Formulary

Displaying 27711-27720 of 1611142 results.
ID: 27711
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27712
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27713
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27714
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27715
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27716
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27717
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27718
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27719
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 763106
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27720
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658241
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0