CMS Formulary

Displaying 198691-198700 of 1611142 results.
ID: 198691
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 830245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198692
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 836636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198693
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 836634
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198694
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1597099
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198695
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1597103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198696
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1292443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198697
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 804186
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198698
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1292459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198699
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1658106
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198700
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1658102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0