CMS Formulary

Displaying 200321-200330 of 1611142 results.
ID: 200321
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 151030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200322
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 977990
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 200323
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 977978
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 200324
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309289
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 200325
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309291
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200326
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1368006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200327
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 705129
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200328
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 895487
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 200329
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 895987
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 200330
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310982
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0