CMS Formulary

Displaying 200811-200820 of 1611142 results.
ID: 200811
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2286285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200812
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966154
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200813
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966161
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200814
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966167
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200815
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200816
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966178
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200817
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966397
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200818
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966188
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200819
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966410
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200820
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966197
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0