CMS Formulary

Displaying 200191-200200 of 1611142 results.
ID: 200191
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858116
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200192
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2118835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200193
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310291
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200194
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 809871
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200195
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197873
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200196
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2058845
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200197
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 864661
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200198
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2001424
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200199
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1363408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200200
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1363410
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0