CMS Formulary

Displaying 200081-200090 of 1611142 results.
ID: 200081
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200082
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314165
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200083
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 226343
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200084
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1191013
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200085
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308493
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200086
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1116150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200087
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200088
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 686405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200089
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1293504
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200090
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1812015
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0