CMS Formulary

Displaying 28271-28280 of 1611142 results.
ID: 28271
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 313219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 28272
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 260376
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 28273
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 328161
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 28274
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 197971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 28275
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 861064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 28276
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 197787
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 28277
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 197782
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 28278
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 197783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 28279
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 313142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 28280
Formulary ID: 00021008
Formulary Version: 14
Contract Year: 2021
RXCUI: 312347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0