CMS Formulary

Displaying 199601-199610 of 1611142 results.
ID: 199601
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310497
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199602
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 905369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199603
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311166
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199604
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197832
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199605
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349196
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199606
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349197
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199607
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 905516
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199608
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 905495
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199609
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199610
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0