CMS Formulary

Displaying 29751-29760 of 1611142 results.
ID: 29751
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 310536
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29752
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 310539
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29753
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1299903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29754
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000695
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29755
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1299909
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29756
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197737
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29757
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 310534
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29758
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1362706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29759
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1362712
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29760
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1362720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0