CMS Formulary

Displaying 199891-199900 of 1611142 results.
ID: 199891
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 993557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199892
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 996097
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199893
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 996615
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199894
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 996594
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199895
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 996603
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199896
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 996609
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199897
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199898
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 801054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199899
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 206548
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199900
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 992475
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0