CMS Formulary

Displaying 199091-199100 of 1611142 results.
ID: 199091
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 834040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199092
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199093
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 429212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199094
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309374
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199095
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1299917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199096
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 995218
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199097
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1299896
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199098
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199099
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 643066
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199100
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1652084
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0