CMS Formulary

Displaying 199761-199770 of 1611142 results.
ID: 199761
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199167
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199762
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199763
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 763181
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199764
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 763179
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199765
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 763185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199766
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 763183
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199767
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861424
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199768
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1047040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199769
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1047041
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199770
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861476
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0