CMS Formulary

Displaying 198851-198860 of 1611142 results.
ID: 198851
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 206792
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198852
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 207100
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198853
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 208821
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198854
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 213307
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198855
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 211020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198856
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 804547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198857
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1307630
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198858
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1307635
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198859
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1243010
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198860
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1243014
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0