CMS Formulary

Displaying 199681-199690 of 1611142 results.
ID: 199681
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310489
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199682
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1375948
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199683
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 250344
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199684
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1596781
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199685
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 722122
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199686
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 722116
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199687
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198250
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199688
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 863559
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199689
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897612
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199690
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897618
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0