CMS Formulary

Displaying 199031-199040 of 1611142 results.
ID: 199031
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197603
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199032
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199033
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 904458
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 199034
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197380
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199035
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198045
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199036
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 317136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199037
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199038
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198047
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199039
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312059
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199040
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866018
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0