CMS Formulary

Displaying 65171-65180 of 1611142 results.
ID: 65171
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2375329
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65172
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099302
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65173
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2003757
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65174
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2003767
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65175
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1797880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65176
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1113046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65177
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 863836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65178
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 863841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65179
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 863829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65180
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373327
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0