CMS Formulary

Displaying 198871-198880 of 1611142 results.
ID: 198871
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 978745
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198872
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2103175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198873
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 978747
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198874
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2103179
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198875
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 978778
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198876
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2284108
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198877
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2099952
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198878
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2105860
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198879
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 637188
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 198880
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 795735
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28