CMS Formulary

Displaying 200801-200810 of 1611142 results.
ID: 200801
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1659137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200802
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1743547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200803
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1734932
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200804
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200805
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200806
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200807
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200808
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200809
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2286281
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200810
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2286290
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0