CMS Formulary

Displaying 199911-199920 of 1611142 results.
ID: 199911
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 899518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199912
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 899548
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199913
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091133
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199914
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 863664
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199915
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1012017
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199916
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 209002
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199917
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 208420
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199918
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2055676
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199919
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2055672
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199920
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314111
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30