CMS Formulary

Displaying 199331-199340 of 1611142 results.
ID: 199331
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 402091
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199332
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1986819
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199333
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2289424
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 1
ID: 199334
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2289428
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 1
ID: 199335
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1942485
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199336
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1942489
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199337
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1721571
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199338
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1721583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199339
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1790644
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199340
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2387331
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0