CMS Formulary

Displaying 4971-4980 of 1611142 results.
ID: 4971
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1796079
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4972
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1796083
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4973
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1433879
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4974
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1546894
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4975
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857913
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4976
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857917
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4977
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857925
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4978
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989506
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4979
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122526
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4980
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2380551
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0