CMS Formulary

Displaying 200021-200030 of 1611142 results.
ID: 200021
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856773
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200022
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 429503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200023
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310798
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200024
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200025
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 485023
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200026
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200027
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200028
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 485020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200029
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200030
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 863636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0