CMS Formulary

Displaying 201191-201200 of 1611142 results.
ID: 201191
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866482
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201192
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201193
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201194
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201195
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201196
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205323
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201197
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403853
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201198
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403854
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201199
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403855
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201200
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 859981
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0