CMS Formulary

Displaying 199361-199370 of 1611142 results.
ID: 199361
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 801648
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199362
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1863973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199363
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1863605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199364
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199365
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199366
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866924
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199367
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197465
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199368
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197466
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199369
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199370
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197505
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0