CMS Formulary

Displaying 200471-200480 of 1611142 results.
ID: 200471
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1486687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200472
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200473
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200474
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1653217
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200475
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 851750
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200476
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200477
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1111018
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200478
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 212381
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200479
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2107008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200480
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2104192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0