CMS Formulary

Displaying 90741-90750 of 1611142 results.
ID: 90741
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 855344
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 90742
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 242461
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 90743
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 242462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 90744
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 856467
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 90745
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 311666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 90746
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 311668
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 90747
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 314234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 90748
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 309115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 90749
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 197454
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 90750
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 308177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0