CMS Formulary

Displaying 199171-199180 of 1611142 results.
ID: 199171
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 859835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199172
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 905273
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199173
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199174
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312036
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199175
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856940
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199176
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 834137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199177
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 810002
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199178
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 809990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199179
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 809994
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199180
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 809998
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0