CMS Formulary

Displaying 200061-200070 of 1611142 results.
ID: 200061
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1723156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200062
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200063
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200064
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200065
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200066
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200067
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200068
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200069
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200070
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0