CMS Formulary

Displaying 199881-199890 of 1611142 results.
ID: 199881
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2475840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199882
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2107621
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 1
ID: 199883
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 348506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199884
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1719862
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199885
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199886
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 672567
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199887
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 672569
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199888
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 672571
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199889
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 207249
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199890
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 993541
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0