CMS Formulary

Displaying 199691-199700 of 1611142 results.
ID: 199691
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897624
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199692
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897630
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199693
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 745791
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199694
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 582926
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199695
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1597129
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199696
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1745091
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 1
ID: 199697
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1801289
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199698
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857564
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199699
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199700
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311893
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0