CMS Formulary

Displaying 199981-199990 of 1611142 results.
ID: 199981
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855664
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199982
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 995281
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199983
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199984
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 904419
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 199985
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866436
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199986
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855633
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 960
Qty Limit Days: 30
ID: 199987
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199988
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199989
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199247
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 199990
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314231
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1