CMS Formulary

Displaying 198651-198660 of 1611142 results.
ID: 198651
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 643173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198652
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 643175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198653
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 799830
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198654
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1045408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198655
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1045404
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198656
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1364441
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198657
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1364447
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198658
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 607579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198659
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1664984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198660
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1664988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0