CMS Formulary

Displaying 199291-199300 of 1611142 results.
ID: 199291
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197445
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199292
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197816
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199293
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197815
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199294
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1001004
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199295
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 903873
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199296
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 903879
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199297
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351264
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199298
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835958
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199299
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 834346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199300
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 993466
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0