CMS Formulary

Displaying 200751-200760 of 1611142 results.
ID: 200751
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 283535
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200752
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198222
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200753
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200754
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 96304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200755
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 998689
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200756
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 998685
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200757
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1313785
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200758
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 207588
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200759
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 213510
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200760
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 896108
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0