CMS Formulary

Displaying 9841-9850 of 1611142 results.
ID: 9841
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9842
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 798451
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9843
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 830263
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9844
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9845
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055815
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9846
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1441740
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9847
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 835721
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9848
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1046920
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1008
Qty Limit Days: 90
ID: 9849
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 404457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9850
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 404458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0