CMS Formulary

Displaying 199771-199780 of 1611142 results.
ID: 199771
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1665697
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199772
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1665685
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199773
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199774
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312068
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199775
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199776
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312071
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199777
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 859867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199778
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199779
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1191256
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 199780
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0