CMS Formulary

Displaying 200591-200600 of 1611142 results.
ID: 200591
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2359348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200592
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2359340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200593
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2361300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200594
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2361296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200595
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2174390
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 200596
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1243052
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200597
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1606866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200598
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2257013
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 1
ID: 200599
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1606870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200600
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2053519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0