CMS Formulary

Displaying 73991-74000 of 1611142 results.
ID: 73991
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 597984
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 73992
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 597993
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 73993
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 597967
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 73994
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 597980
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 73995
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 597974
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 73996
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 597987
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 73997
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 597977
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 73998
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 597971
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 73999
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 403908
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 74000
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 198038
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0