CMS Formulary

Displaying 19201-19210 of 1611142 results.
ID: 19201
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 833234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19202
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 905158
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19203
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 199376
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19204
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 199381
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19205
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 898490
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19206
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 686429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19207
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988308
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19208
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988311
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19209
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 19210
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988319
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0