CMS Formulary

Displaying 198821-198830 of 1611142 results.
ID: 198821
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197731
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198822
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 756059
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198823
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311376
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 198824
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198825
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 864761
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198826
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 864769
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198827
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198828
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 315187
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198829
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856724
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198830
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856733
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0