CMS Formulary

Displaying 198621-198630 of 1611142 results.
ID: 198621
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2395779
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198622
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2370174
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198623
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2395785
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198624
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2370170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198625
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1946836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198626
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1946840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198627
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1946844
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198628
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1946848
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198629
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 865098
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198630
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 752388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0