CMS Formulary

Displaying 2871-2880 of 1611142 results.
ID: 2871
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 312749
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2872
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 199353
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2873
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 199351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2874
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 199352
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2875
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 198189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2876
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 261962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2877
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 199147
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2878
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 349491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2879
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2880
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0