CMS Formulary

Displaying 200651-200660 of 1611142 results.
ID: 200651
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 834348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200652
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200653
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310380
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200654
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1313112
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200655
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1370770
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 200656
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200657
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311679
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200658
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 105583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200659
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200660
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 402505
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0