CMS Formulary

Displaying 8421-8430 of 1611142 results.
ID: 8421
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 308973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8422
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 858824
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8423
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 858828
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8424
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 308976
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8425
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 834348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8426
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 310379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8427
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 310380
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8428
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1313112
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8429
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 855671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8430
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 311679
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0