CMS Formulary

Displaying 199861-199870 of 1611142 results.
ID: 199861
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199862
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199863
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1809667
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199864
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1233711
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199865
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199866
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854235
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199867
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199868
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199869
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854248
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199870
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0