CMS Formulary

Displaying 199921-199930 of 1611142 results.
ID: 199921
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858798
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199922
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197738
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199923
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311725
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199924
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311726
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199925
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 884386
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 199926
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 884385
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 199927
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 993770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199928
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 993890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199929
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 864718
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199930
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0