CMS Formulary

Displaying 7211-7220 of 1611142 results.
ID: 7211
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 801136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7212
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1799706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7213
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 805131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7214
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 801648
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7215
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 800420
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7216
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 800405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7217
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1090639
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7218
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 800438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7219
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 800444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 7220
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 801012
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0