CMS Formulary

Displaying 200561-200570 of 1611142 results.
ID: 200561
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1650974
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200562
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1650976
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200563
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1739766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200564
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1739774
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200565
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2173500
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 200566
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1739778
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200567
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1739782
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200568
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1739770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200569
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1251914
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200570
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 722256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0