CMS Formulary

Displaying 198801-198810 of 1611142 results.
ID: 198801
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197624
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198802
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1437968
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198803
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1437969
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198804
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897657
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198805
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1049604
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198806
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1874559
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198807
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1874553
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198808
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 900575
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198809
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 977427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198810
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 977434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0