CMS Formulary

Displaying 198701-198710 of 1611142 results.
ID: 198701
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 798451
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198702
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 830263
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198703
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1658150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198704
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2055815
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198705
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2475856
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 198706
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2475860
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 198707
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2475852
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 198708
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835721
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198709
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 584201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198710
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 207136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0