CMS Formulary

Displaying 199651-199660 of 1611142 results.
ID: 199651
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 761977
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199652
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 750265
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199653
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 762001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199654
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 762334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199655
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 753483
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199656
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 750267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199657
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 801185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199658
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1095229
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199659
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857560
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199660
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 898362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0