CMS Formulary

Displaying 200601-200610 of 1611142 results.
ID: 200601
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2166401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200602
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1999389
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 200603
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1812470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200604
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1655934
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200605
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2053512
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200606
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 762394
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200607
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 284592
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200608
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 284594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200609
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 284593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200610
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 284595
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0