CMS Formulary

Displaying 199741-199750 of 1611142 results.
ID: 199741
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1602120
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199742
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1665369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199743
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1664328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199744
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1664325
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199745
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1602115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199746
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1796091
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 199747
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1796096
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 199748
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1862688
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199749
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1862701
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199750
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1862697
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0