CMS Formulary

Displaying 199381-199390 of 1611142 results.
ID: 199381
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856769
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199382
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199383
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199384
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199385
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199386
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856792
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199387
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198297
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199388
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199389
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199390
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0