CMS Formulary

Displaying 199511-199520 of 1611142 results.
ID: 199511
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897702
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199512
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897710
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199513
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 864706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199514
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1049611
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199515
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1049618
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199516
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 884535
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 199517
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 884532
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 199518
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 245136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199519
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 245134
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199520
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 245135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0