CMS Formulary

Displaying 51651-51660 of 1611142 results.
ID: 51651
Formulary ID: 00021017
Formulary Version: 14
Contract Year: 2021
RXCUI: 312749
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 51652
Formulary ID: 00021017
Formulary Version: 14
Contract Year: 2021
RXCUI: 199353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 51653
Formulary ID: 00021017
Formulary Version: 14
Contract Year: 2021
RXCUI: 199351
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 51654
Formulary ID: 00021017
Formulary Version: 14
Contract Year: 2021
RXCUI: 199352
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 51655
Formulary ID: 00021017
Formulary Version: 14
Contract Year: 2021
RXCUI: 198189
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 51656
Formulary ID: 00021017
Formulary Version: 14
Contract Year: 2021
RXCUI: 261962
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 51657
Formulary ID: 00021017
Formulary Version: 14
Contract Year: 2021
RXCUI: 199147
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 51658
Formulary ID: 00021017
Formulary Version: 14
Contract Year: 2021
RXCUI: 349491
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 51659
Formulary ID: 00021017
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649990
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 51660
Formulary ID: 00021017
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650030
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0