CMS Formulary

Displaying 75451-75460 of 1611142 results.
ID: 75451
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 197884
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 75452
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 197885
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 75453
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 197886
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 75454
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 197887
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 75455
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 314203
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 75456
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 312749
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 75457
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 199353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 75458
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 199351
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 75459
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 199352
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 75460
Formulary ID: 00021026
Formulary Version: 14
Contract Year: 2021
RXCUI: 198189
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0