CMS Formulary

Displaying 198761-198770 of 1611142 results.
ID: 198761
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 902652
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198762
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1113046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198763
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 863836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198764
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 863841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198765
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 863829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198766
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1373327
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198767
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 905164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198768
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 688242
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198769
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198770
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 208513
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0