CMS Formulary

Displaying 29361-29370 of 1611142 results.
ID: 29361
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 404457
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29362
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 404458
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29363
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 404459
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29364
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1549456
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29365
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1549454
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29366
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 205562
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29367
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 763489
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29368
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 996559
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29369
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 762833
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29370
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 762836
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0