CMS Formulary

Displaying 199431-199440 of 1611142 results.
ID: 199431
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199432
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198325
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199433
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198323
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199434
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855942
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199435
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 618552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199436
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313366
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199437
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199438
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 242333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199439
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 241527
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199440
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0