CMS Formulary

Displaying 200141-200150 of 1611142 results.
ID: 200141
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197817
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200142
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197818
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200143
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197889
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200144
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855172
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 200145
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 242679
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200146
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309313
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200147
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200148
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2123194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200149
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313565
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200150
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313564
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0