CMS Formulary

Displaying 200551-200560 of 1611142 results.
ID: 200551
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858057
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200552
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858055
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200553
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858053
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200554
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2059017
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200555
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1232084
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200556
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1232088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200557
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1114202
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200558
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1549683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200559
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1650968
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200560
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1650972
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0