CMS Formulary

Displaying 198791-198800 of 1611142 results.
ID: 198791
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 905168
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198792
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 892589
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198793
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 894780
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198794
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 997170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198795
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 997287
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198796
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 997296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198797
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310792
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198798
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310793
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198799
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 477234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198800
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0