CMS Formulary

Displaying 9851-9860 of 1611142 results.
ID: 9851
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 404459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9852
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1549456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9853
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1549454
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9854
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 205562
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9855
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 763489
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9856
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 996559
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9857
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 762833
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9858
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 762836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9859
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 762839
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9860
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 762843
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0