CMS Formulary

Displaying 199491-199500 of 1611142 results.
ID: 199491
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 577057
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199492
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 886634
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199493
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1437702
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199494
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857002
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199495
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199496
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856999
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199497
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2001565
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 199498
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2001566
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 199499
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2001568
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 199500
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 993781
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0