CMS Formulary

Displaying 200171-200180 of 1611142 results.
ID: 200171
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 200034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200172
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312078
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200173
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314154
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200174
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 283639
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200175
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 200284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200176
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200177
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351108
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200178
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349251
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200179
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 905041
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 200180
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 153822
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0