CMS Formulary

Displaying 29461-29470 of 1611142 results.
ID: 29461
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 856724
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29462
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 856733
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29463
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 309371
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29464
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197577
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29465
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 343033
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29466
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29467
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197580
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29468
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197581
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29469
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197582
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29470
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0