CMS Formulary

Displaying 198811-198820 of 1611142 results.
ID: 198811
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 977438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198812
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1304979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198813
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 892625
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198814
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311355
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198815
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197893
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198816
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313932
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198817
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309843
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198818
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1190568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198819
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1797907
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198820
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197730
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0