CMS Formulary

Displaying 200761-200770 of 1611142 results.
ID: 200761
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200762
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200763
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311787
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200764
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200765
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200766
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200767
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197512
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200768
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200769
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312084
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200770
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198051
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1