CMS Formulary

Displaying 9391-9400 of 1611142 results.
ID: 9391
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 672149
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9392
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1736654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9393
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1736656
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9394
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1806683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9395
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1806684
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9396
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356074
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9397
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 748832
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9398
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1722680
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9399
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729516
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9400
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 1485332
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0