CMS Formulary

Displaying 199841-199850 of 1611142 results.
ID: 199841
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 991039
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199842
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 991194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199843
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 991336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199844
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 991044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199845
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 991188
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199846
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857297
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199847
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199848
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857305
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199849
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1812421
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199850
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1812425
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0