CMS Formulary

Displaying 27741-27750 of 1611142 results.
ID: 27741
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857925
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27742
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989506
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27743
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122526
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27744
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 2380551
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27745
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 2374566
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27746
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 1790146
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27747
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 197839
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27748
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 313447
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27749
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 835593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 27750
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 835564
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0