CMS Formulary

Displaying 200251-200260 of 1611142 results.
ID: 200251
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198332
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200252
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856987
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200253
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856992
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200254
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200255
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 994521
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200256
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091389
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200257
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200258
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200259
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1232202
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200260
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1232194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0