CMS Formulary

Displaying 30251-30260 of 1611142 results.
ID: 30251
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 762001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30252
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 762334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30253
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 753483
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30254
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 750267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30255
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 857560
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30256
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 312529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30257
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 977880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30258
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047882
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30259
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 310190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30260
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 310191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0