CMS Formulary

Displaying 200501-200510 of 1611142 results.
ID: 200501
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1657212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200502
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1147228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200503
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2197873
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200504
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2197877
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200505
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205532
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200506
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1868016
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200507
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1868020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200508
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1727485
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200509
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1242998
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200510
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2058950
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0