CMS Formulary

Displaying 971-980 of 1611142 results.
ID: 971
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 972
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 751890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 973
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1358780
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 974
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1358765
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 975
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 976
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 977
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 978
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1095362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 979
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 753482
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 980
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 750268
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0