CMS Formulary

Displaying 199801-199810 of 1611142 results.
ID: 199801
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1101932
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199802
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199119
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 199803
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1654630
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199804
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2000007
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199805
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1721475
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199806
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 828755
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199807
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 828539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199808
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 545835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199809
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 754508
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199810
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197411
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0