CMS Formulary

Displaying 199421-199430 of 1611142 results.
ID: 199421
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199422
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199423
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966249
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199424
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 892251
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199425
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 892255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199426
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966270
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199427
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 618557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199428
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199429
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 606726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199430
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 606730
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0