CMS Formulary

Displaying 200461-200470 of 1611142 results.
ID: 200461
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200462
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 250820
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200463
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858751
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200464
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858733
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200465
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848943
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200466
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1801279
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200467
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 207362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200468
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200469
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 207364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200470
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 577776
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0