CMS Formulary

Displaying 8651-8660 of 1611142 results.
ID: 8651
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 805579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8652
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 901518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8653
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 830463
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8654
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8655
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 809159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8656
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 802652
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8657
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8658
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2182340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8659
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 2392142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8660
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 261105
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0