CMS Formulary

Displaying 200711-200720 of 1611142 results.
ID: 200711
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 246172
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200712
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1606337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200713
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313498
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200714
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200715
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200716
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 844590
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200717
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 844813
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200718
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 844591
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200719
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 844829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200720
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1001690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0