CMS Formulary

Displaying 199221-199230 of 1611142 results.
ID: 199221
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197392
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199222
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 597852
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199223
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 597850
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199224
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310273
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199225
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 284245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199226
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835886
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199227
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866049
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199228
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 795774
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199229
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896019
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199230
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896027
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0