CMS Formulary

Displaying 198641-198650 of 1611142 results.
ID: 198641
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1435117
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198642
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198643
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 106892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198644
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 847254
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198645
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 847213
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198646
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1652640
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198647
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 847189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198648
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 847199
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198649
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1731317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198650
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 643177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0