CMS Formulary

Displaying 200421-200430 of 1611142 results.
ID: 200421
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2380551
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 200422
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2374566
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200423
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197839
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200424
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313447
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200425
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200426
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200427
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835564
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200428
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200429
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200430
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0