CMS Formulary

Displaying 198781-198790 of 1611142 results.
ID: 198781
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198782
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1797833
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198783
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1797844
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198784
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 393245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198785
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 885857
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198786
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860901
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198787
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351265
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198788
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351266
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198789
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198790
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 905172
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0