CMS Formulary

Displaying 199971-199980 of 1611142 results.
ID: 199971
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 808748
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199972
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861601
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199973
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861597
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199974
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 615882
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199975
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 212438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199976
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 212437
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199977
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 284496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199978
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197848
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199979
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855926
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199980
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855906
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0