CMS Formulary

Displaying 200521-200530 of 1611142 results.
ID: 200521
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 578018
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200522
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 477391
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200523
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197877
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 200
Qty Limit Days: 30
ID: 200524
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1010739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200525
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 391937
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200526
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197305
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200527
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313786
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200528
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 212787
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200529
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1312408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200530
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1439894
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0