CMS Formulary

Displaying 30591-30600 of 1611142 results.
ID: 30591
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 351250
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30592
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 856834
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30593
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 856845
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30594
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 856853
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30595
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 856762
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30596
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 856773
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30597
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 429503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30598
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 310798
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30599
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 30600
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 309362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0