CMS Formulary

Displaying 200041-200050 of 1611142 results.
ID: 200041
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1928954
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200042
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 905222
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200043
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197855
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200044
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197856
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200045
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200046
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314184
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200047
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200048
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897722
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200049
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197942
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200050
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197941
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0