CMS Formulary

Displaying 200481-200490 of 1611142 results.
ID: 200481
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1994764
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200482
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1994758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200483
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1660690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200484
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2397128
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200485
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314106
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200486
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200487
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200488
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200489
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 248656
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200490
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 204844
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0