CMS Formulary

Displaying 200511-200520 of 1611142 results.
ID: 200511
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2058946
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200512
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1722376
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200513
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2100099
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200514
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2100100
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200515
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2108930
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200516
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312614
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200517
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 283077
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200518
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 993755
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200519
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197448
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200520
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1923432
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0