CMS Formulary

Displaying 199961-199970 of 1611142 results.
ID: 199961
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 598006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199962
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199963
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091155
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199964
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091170
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199965
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091185
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 199966
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091210
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199967
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1995461
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 199968
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 808751
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199969
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 808753
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199970
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 808744
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0