CMS Formulary

Displaying 199371-199380 of 1611142 results.
ID: 199371
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199372
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1298857
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199373
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197464
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199374
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199375
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197436
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199376
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197437
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199377
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199378
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197439
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199379
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1298861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199380
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1298870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0