CMS Formulary

Displaying 200221-200230 of 1611142 results.
ID: 200221
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1650143
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200222
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1298910
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200223
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1298816
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200224
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1298906
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200225
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858613
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200226
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858616
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200227
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858747
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200228
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1542997
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200229
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1432969
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200230
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 904880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0