CMS Formulary

Displaying 200101-200110 of 1611142 results.
ID: 200101
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 317094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200102
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349435
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200103
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200104
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310289
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200105
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1373016
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200106
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855858
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200107
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 884522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200108
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856980
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200109
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 348472
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200110
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 282401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0