CMS Formulary

Displaying 199321-199330 of 1611142 results.
ID: 199321
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351174
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199322
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199323
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 794639
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199324
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 616578
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199325
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1795252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199326
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 245220
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199327
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 207273
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199328
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1191267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199329
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2001321
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199330
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091843
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1