CMS Formulary

Displaying 199401-199410 of 1611142 results.
ID: 199401
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198275
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199402
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198270
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199403
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199404
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856422
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199405
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199406
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 998671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199407
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 998675
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199408
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 998679
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199409
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000048
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199410
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 876524
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0