CMS Formulary

Displaying 199831-199840 of 1611142 results.
ID: 199831
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199832
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199833
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 849395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199834
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 892494
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199835
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 892596
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199836
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 892345
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199837
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 894801
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199838
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 892352
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199839
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 894814
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199840
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 892554
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0