CMS Formulary

Displaying 198991-199000 of 1611142 results.
ID: 198991
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2169314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198992
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2169322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198993
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2362240
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198994
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2169320
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198995
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2362244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198996
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1656351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198997
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1873991
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198998
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1873993
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 198999
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1873995
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199000
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1421456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0