CMS Formulary

Displaying 199271-199280 of 1611142 results.
ID: 199271
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1246306
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199272
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1246290
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199273
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1666334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199274
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1116639
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199275
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966524
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199276
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199277
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 859192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199278
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 801962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199279
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 801965
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199280
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 830876
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0