CMS Formulary

Displaying 199561-199570 of 1611142 results.
ID: 199561
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2052704
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199562
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2105817
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199563
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1300797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199564
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1300803
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199565
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 967388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199566
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 307730
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199567
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 106302
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199568
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 884308
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199569
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 106387
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199570
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308714
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0