CMS Formulary

Displaying 200401-200410 of 1611142 results.
ID: 200401
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 727316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200402
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1870207
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200403
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1374574
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200404
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2003255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200405
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2198370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200406
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 865208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200407
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 865212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200408
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 865216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200409
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 723827
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200410
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 729201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0