CMS Formulary

Displaying 200821-200830 of 1611142 results.
ID: 200821
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966399
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200822
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200823
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966214
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200824
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 727542
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200825
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 993456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200826
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1046402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200827
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1649491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200828
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1649495
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200829
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2168596
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200830
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2045638
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30