CMS Formulary

Displaying 199721-199730 of 1611142 results.
ID: 199721
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 603378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199722
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1190225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199723
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 580261
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199724
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 836368
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199725
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1552004
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199726
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1723478
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199727
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1430453
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199728
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1430457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199729
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1100706
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 199730
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1430449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0