CMS Formulary

Displaying 200011-200020 of 1611142 results.
ID: 200011
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200012
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312744
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200013
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 616487
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200014
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312962
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 200015
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349332
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200016
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351250
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200017
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856834
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200018
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856845
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200019
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856853
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200020
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856762
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0