CMS Formulary

Displaying 198951-198960 of 1611142 results.
ID: 198951
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966251
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198952
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966218
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198953
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198954
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198955
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 212957
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198956
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404551
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198957
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404553
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198958
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 977436
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198959
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 977440
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198960
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 977431
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0