CMS Formulary

Displaying 199731-199740 of 1611142 results.
ID: 199731
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1592748
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199732
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1592752
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199733
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1243033
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 199734
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1243040
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 199735
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1243026
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 199736
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1545664
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199737
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1545668
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199738
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1651275
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199739
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1664321
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199740
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1667882
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0