CMS Formulary

Displaying 200391-200400 of 1611142 results.
ID: 200391
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200392
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200393
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200394
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200395
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200396
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 763106
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200397
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1658241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200398
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1939299
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200399
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1939348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200400
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 577324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0