CMS Formulary

Displaying 8431-8440 of 1611142 results.
ID: 8431
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 105583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8432
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 199378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8433
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 402505
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8434
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 402506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8435
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1313885
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8436
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 577237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8437
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 310285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8438
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 198359
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8439
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 389242
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8440
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 204119
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0