CMS Formulary

Displaying 199531-199540 of 1611142 results.
ID: 199531
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1665021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199532
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1665005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199533
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199534
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1040012
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199535
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1040016
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199536
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1653470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199537
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1086776
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199538
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1086780
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199539
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1086786
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199540
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1307415
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0