CMS Formulary

Displaying 200211-200220 of 1611142 results.
ID: 200211
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200212
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197417
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200213
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197418
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200214
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197419
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200215
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311207
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200216
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200217
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200218
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861467
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200219
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861455
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200220
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1922720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0