CMS Formulary

Displaying 200441-200450 of 1611142 results.
ID: 200441
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 577154
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200442
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200443
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403969
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200444
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403972
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200445
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403970
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200446
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200447
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197987
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200448
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197986
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200449
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1251903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200450
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 721787
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0