CMS Formulary

Displaying 199751-199760 of 1611142 results.
ID: 199751
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1862692
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199752
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1037181
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199753
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1037049
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199754
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 991082
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199755
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 702519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199756
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199757
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 885219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199758
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 885213
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199759
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1049635
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199760
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198086
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0