CMS Formulary

Displaying 7011-7020 of 1611142 results.
ID: 7011
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 351133
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7012
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 313979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7013
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 834127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7014
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 141935
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7015
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 849385
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7016
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 861848
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7017
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 859835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7018
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 905273
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7019
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7020
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 312036
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0