CMS Formulary

Displaying 199611-199620 of 1611142 results.
ID: 199611
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 995232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199612
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 977883
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199613
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197863
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199614
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197556
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199615
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197554
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199616
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197555
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199617
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199618
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1009145
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 199619
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 687043
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 199620
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 577957
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30