CMS Formulary

Displaying 199231-199240 of 1611142 results.
ID: 199231
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896023
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199232
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 795772
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199233
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 213484
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199234
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 759473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199235
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199236
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199237
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896229
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199238
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199239
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199240
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896273
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0