CMS Formulary

Displaying 200411-200420 of 1611142 results.
ID: 200411
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 729203
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200412
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1796079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200413
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1796083
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200414
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1433879
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200415
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1546894
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200416
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1857913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200417
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1857917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200418
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1857925
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200419
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1989506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200420
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2122526
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0