CMS Formulary

Displaying 198721-198730 of 1611142 results.
ID: 198721
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 763489
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198722
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 996559
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198723
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 762833
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198724
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 762836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198725
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 762839
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198726
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 762843
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198727
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 762875
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198728
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 762849
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198729
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 762852
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198730
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 762859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0