CMS Formulary

Displaying 198961-198970 of 1611142 results.
ID: 198961
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2056897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198962
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 746609
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198963
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 730992
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198964
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 845512
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198965
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 847734
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198966
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1002300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198967
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1012899
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198968
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1310138
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198969
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1310144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198970
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1310147
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0