CMS Formulary

Displaying 8801-8810 of 1611142 results.
ID: 8801
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 312301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8802
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197684
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8803
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197685
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8804
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 859186
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8805
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197625
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8806
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197626
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8807
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197627
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8808
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197628
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8809
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 199390
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8810
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 197553
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0