CMS Formulary

Displaying 199461-199470 of 1611142 results.
ID: 199461
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 830872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199462
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 432401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199463
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199464
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 226552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199465
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 748878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199466
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1918042
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199467
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1111641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199468
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1487361
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199469
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199470
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0