CMS Formulary

Displaying 199521-199530 of 1611142 results.
ID: 199521
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197696
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199522
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198243
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199523
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1870650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199524
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1191234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199525
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 307718
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199526
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 307719
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199527
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199528
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199529
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199530
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0