CMS Formulary

Displaying 200881-200890 of 1611142 results.
ID: 200881
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2000027
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200882
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2000031
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200883
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1300386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200884
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 829989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200885
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 830557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200886
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 803371
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200887
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1300810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200888
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 798430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200889
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 798428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200890
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1986830
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 999