CMS Formulary

Displaying 9961-9970 of 1611142 results.
ID: 9961
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9962
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197862
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9963
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 105585
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9964
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197931
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9965
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 312617
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9966
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 198144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9967
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 198146
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9968
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 213272
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9969
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 207100
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9970
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 804547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0