CMS Formulary

Displaying 199541-199550 of 1611142 results.
ID: 199541
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1307421
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199542
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1869699
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199543
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1805427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199544
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1602588
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199545
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1805422
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199546
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1602594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199547
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1858971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199548
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 833151
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199549
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 833139
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 199550
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 833143
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30