CMS Formulary

Displaying 198751-198760 of 1611142 results.
ID: 198751
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897294
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198752
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 402092
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198753
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861637
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198754
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198755
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 904170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198756
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198757
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1604544
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198758
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2002420
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198759
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1797880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198760
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 902648
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0