CMS Formulary

Displaying 200791-200800 of 1611142 results.
ID: 200791
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 799055
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200792
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 799056
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200793
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 799054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200794
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 206913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200795
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 206917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200796
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848582
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200797
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 824959
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200798
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 749206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200799
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1659598
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200800
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 240984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0