CMS Formulary

Displaying 200741-200750 of 1611142 results.
ID: 200741
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1369831
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200742
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1811182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200743
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1716215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200744
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1716219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200745
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1716223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200746
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1649405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200747
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 852920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200748
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313096
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200749
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200750
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 318179
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0