CMS Formulary

Displaying 198711-198720 of 1611142 results.
ID: 198711
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000158
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 90
ID: 198712
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1046920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198713
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198714
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198715
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198716
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1549456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198717
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1549454
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198718
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 882533
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198719
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205562
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198720
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0