CMS Formulary

Displaying 29661-29670 of 1611142 results.
ID: 29661
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1098670
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29662
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1098674
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29663
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923422
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29664
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923426
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29665
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923424
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29666
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 904589
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29667
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 894859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29668
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 866042
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29669
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 855288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29670
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 855302
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0