CMS Formulary

Displaying 200721-200730 of 1611142 results.
ID: 200721
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 905394
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200722
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200723
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 810094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200724
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200725
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 810087
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200726
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 748977
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200727
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200728
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091629
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200729
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091635
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200730
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1091638
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0