CMS Formulary

Displaying 198771-198780 of 1611142 results.
ID: 198771
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404550
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198772
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 150840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198773
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 208949
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198774
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 202301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198775
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198776
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000497
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198777
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198778
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000500
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198779
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000487
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198780
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1653579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0