CMS Formulary

Displaying 198981-198990 of 1611142 results.
ID: 198981
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1425230
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198982
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1425228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198983
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1245003
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198984
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 825425
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198985
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 825429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198986
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 884619
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198987
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2121061
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198988
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1656356
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198989
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1859501
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198990
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1919094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0