CMS Formulary

Displaying 711-720 of 1611142 results.
ID: 711
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 800420
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 712
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 800405
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 713
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1090639
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 714
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 800438
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 715
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 800444
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 716
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 801012
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 717
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 801000
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 718
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 801021
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 719
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 801031
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 720
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 866924
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0