CMS Formulary

Displaying 200051-200060 of 1611142 results.
ID: 200051
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861007
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200052
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861010
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200053
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861004
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200054
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861731
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200055
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 562524
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200056
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1652673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200057
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1649429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200058
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1650142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200059
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1650444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200060
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0