CMS Formulary

Displaying 198971-198980 of 1611142 results.
ID: 198971
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1364114
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198972
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1364118
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198973
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1364122
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198974
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1603361
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198975
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1603365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198976
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1603369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198977
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1656346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198978
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1425110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198979
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1425118
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198980
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 867506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0