CMS Formulary

Displaying 8851-8860 of 1611142 results.
ID: 8851
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8852
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1235150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8853
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1235157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8854
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 310467
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8855
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 310377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8856
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 745462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8857
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8858
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8859
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 731571
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 8860
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049223
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30