CMS Formulary

Displaying 199241-199250 of 1611142 results.
ID: 199241
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 895996
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199242
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199243
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199244
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 795778
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199245
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1539893
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199246
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1487528
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199247
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1547660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199248
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1547672
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199249
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1720606
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199250
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1648789
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0