CMS Formulary

Displaying 198681-198690 of 1611142 results.
ID: 198681
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1729311
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198682
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2055766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198683
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1988671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198684
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1988675
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198685
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1924315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198686
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1486841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198687
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 828757
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198688
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 828541
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198689
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 798300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198690
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 830253
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0