CMS Formulary

Displaying 981-990 of 1611142 results.
ID: 981
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 761977
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 982
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 750265
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 983
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 984
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 762334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 985
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 753483
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 986
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 750267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 987
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 857560
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 988
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 312529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 989
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 977880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 990
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047882
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0