CMS Formulary

Displaying 199871-199880 of 1611142 results.
ID: 199871
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199872
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 406503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199873
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858262
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199874
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310023
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199875
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205669
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199876
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197549
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199877
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197550
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199878
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2102717
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199879
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2102713
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199880
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2102715
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0