CMS Formulary

Displaying 198861-198870 of 1611142 results.
ID: 198861
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1601394
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198862
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1601386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198863
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1601390
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198864
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1987734
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198865
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 978727
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198866
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 978735
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198867
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2058922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198868
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 978737
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198869
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 978757
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198870
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 978741
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0