CMS Formulary

Displaying 200291-200300 of 1611142 results.
ID: 200291
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198039
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200292
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200293
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 248642
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200294
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1010600
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200295
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1307056
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200296
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1010604
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200297
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200298
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200299
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 401938
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200300
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2477272
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0