CMS Formulary

Displaying 199851-199860 of 1611142 results.
ID: 199851
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1812419
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199852
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1812427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199853
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1494769
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199854
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199855
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855306
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199856
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199857
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199858
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199859
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199860
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855342
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0