CMS Formulary

Displaying 1101-1110 of 1611142 results.
ID: 1101
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 314152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1102
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 312071
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1103
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 859867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1104
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 992481
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1105
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 198159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1106
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1191256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1107
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 992459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1108
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 311678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1109
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1085728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1110
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1191315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0