CMS Formulary

Displaying 200541-200550 of 1611142 results.
ID: 200541
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 615979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200542
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 402252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200543
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 207059
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200544
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 211140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200545
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 706831
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200546
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 706827
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200547
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 706829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200548
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 706825
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200549
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858074
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200550
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858051
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0