CMS Formulary

Displaying 200201-200210 of 1611142 results.
ID: 200201
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1364581
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200202
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1790175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200203
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1790167
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200204
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1790171
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200205
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197703
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200206
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1300783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200207
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 730794
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200208
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 831261
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200209
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200210
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 881341
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0