CMS Formulary

Displaying 4941-4950 of 1611142 results.
ID: 4941
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099808
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4942
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1484296
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4943
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1190919
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4944
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1244205
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4945
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 830470
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4946
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300310
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4947
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4948
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4949
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4950
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0