CMS Formulary

Displaying 48391-48400 of 1611142 results.
ID: 48391
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 197905
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48392
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 311353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48393
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 311354
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48394
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 197884
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48395
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 197885
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48396
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 197886
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48397
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 197887
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48398
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 314203
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48399
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 312749
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 48400
Formulary ID: 00021016
Formulary Version: 14
Contract Year: 2021
RXCUI: 199353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0