CMS Formulary

Displaying 200121-200130 of 1611142 results.
ID: 200121
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 884189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200122
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099625
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200123
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 996571
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 200124
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 996561
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 200125
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854916
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200126
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854919
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200127
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854908
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200128
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 201708
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200129
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 672908
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200130
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 672910
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0