CMS Formulary

Displaying 5271-5280 of 1611142 results.
ID: 5271
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 199148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5272
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 311787
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5273
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5274
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 197511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5275
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 309309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5276
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 197512
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5277
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5278
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373335
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5279
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5280
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 312084
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0