CMS Formulary

Displaying 199441-199450 of 1611142 results.
ID: 199441
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 402109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199442
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 834235
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199443
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 834241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199444
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 359144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199445
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 359145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199446
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199447
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1298088
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199448
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1298091
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199449
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1606347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199450
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1606349
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0