CMS Formulary

Displaying 199351-199360 of 1611142 results.
ID: 199351
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861045
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199352
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861043
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199353
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 206347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199354
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1648999
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 199355
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 486515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199356
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 730782
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199357
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1795470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199358
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1794886
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199359
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1795346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199360
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 805131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0