CMS Formulary

Displaying 199471-199480 of 1611142 results.
ID: 199471
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1855389
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199472
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199689
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199473
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 603208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199474
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 603203
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199475
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 603206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199476
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 748961
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199477
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 749761
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199478
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310404
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199479
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199480
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 103467
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0