CMS Formulary

Displaying 199111-199120 of 1611142 results.
ID: 199111
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1860157
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 199112
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1860129
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 199113
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1860137
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 199114
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1860148
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 199115
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835894
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199116
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835925
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199117
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199118
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199119
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1098666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199120
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1098678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0