CMS Formulary

Displaying 200231-200240 of 1611142 results.
ID: 200231
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 891881
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200232
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 891888
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200233
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 891893
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200234
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 891874
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200235
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 892646
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200236
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200237
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848738
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200238
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848742
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200239
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848746
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200240
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848750
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0