CMS Formulary

Displaying 199201-199210 of 1611142 results.
ID: 199201
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 106258
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 199202
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 203105
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 199203
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197409
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 199204
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197408
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 199205
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197405
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 199206
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 103401
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 199207
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197327
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199208
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199209
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199041
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 199210
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 242736
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0