CMS Formulary

Displaying 199151-199160 of 1611142 results.
ID: 199151
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1860151
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 199152
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1860127
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 199153
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856448
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199154
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199155
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199156
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856578
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199157
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856556
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199158
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 242831
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199159
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 239239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199160
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0