CMS Formulary

Displaying 200181-200190 of 1611142 results.
ID: 200181
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 153823
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200182
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 639537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200183
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 578325
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200184
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 578330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200185
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 802749
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200186
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861822
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200187
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1095712
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200188
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1719286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200189
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200190
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 239240
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0