CMS Formulary

Displaying 29811-29820 of 1611142 results.
ID: 29811
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29812
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 313920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29813
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 106258
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29814
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 203105
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29815
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197409
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29816
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29817
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29818
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 103401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29819
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 242736
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 29820
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 706546
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0