CMS Formulary

Displaying 200261-200270 of 1611142 results.
ID: 200261
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197702
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200262
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1049615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200263
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1736047
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200264
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1736050
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200265
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1736053
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200266
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1736044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200267
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312845
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200268
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312846
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200269
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 283858
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200270
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 562704
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0