CMS Formulary

Displaying 199251-199260 of 1611142 results.
ID: 199251
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1945048
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199252
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2045382
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199253
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2109239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199254
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2170993
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199255
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2173822
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199256
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2395775
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199257
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 206336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199258
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 249066
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199259
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199260
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 898367
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0