CMS Formulary

Displaying 200001-200010 of 1611142 results.
ID: 200001
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200002
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200003
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200004
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200005
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1483744
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200006
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310346
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 200007
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197319
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200008
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197320
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200009
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197527
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200010
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197528
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0