CMS Formulary

Displaying 200671-200680 of 1611142 results.
ID: 200671
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 700408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200672
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1112687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200673
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197654
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 200674
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 748879
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200675
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 359385
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200676
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835956
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200677
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 748859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200678
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1359032
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200679
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1359027
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200680
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 751875
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0