CMS Formulary

Displaying 199571-199580 of 1611142 results.
ID: 199571
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 755497
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199572
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 992765
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199573
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 630208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199574
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 245314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199575
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 485968
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199576
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 991061
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199577
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199578
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199579
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198202
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199580
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857677
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0