CMS Formulary

Displaying 200571-200580 of 1611142 results.
ID: 200571
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1251918
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200572
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 724142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200573
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 724156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200574
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1251922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200575
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1739788
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200576
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1149617
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 100
Qty Limit Days: 30
ID: 200577
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 213197
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200578
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 997010
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200579
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200580
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866412
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0