CMS Formulary

Displaying 200861-200870 of 1611142 results.
ID: 200861
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198104
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200862
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860510
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200863
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860516
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200864
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200865
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860532
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200866
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1662285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200867
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205329
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200868
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200869
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205331
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200870
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 984082
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0