CMS Formulary

Displaying 198631-198640 of 1611142 results.
ID: 198631
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 731281
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198632
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1652646
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198633
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1718936
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198634
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1652242
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198635
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1926332
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198636
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1745114
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 198637
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1926331
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198638
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311036
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198639
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 847252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198640
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311026
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0