CMS Formulary

Displaying 199301-199310 of 1611142 results.
ID: 199301
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 993470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199302
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 993462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199303
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1867547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199304
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2047868
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199305
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1494778
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199306
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1494781
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199307
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1494775
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199308
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1494766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199309
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1494771
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199310
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 832718
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0