CMS Formulary

Displaying 200641-200650 of 1611142 results.
ID: 200641
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200642
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197853
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200643
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858813
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200644
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858817
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200645
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200646
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200647
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858824
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200648
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858828
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200649
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308976
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200650
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310247
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0