CMS Formulary

Displaying 199081-199090 of 1611142 results.
ID: 199081
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 884707
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199082
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 753543
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199083
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2110455
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199084
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 800915
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199085
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 904870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199086
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 904876
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199087
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309047
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199088
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199089
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198141
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199090
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 834046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0