CMS Formulary

Displaying 200931-200940 of 1611142 results.
ID: 200931
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2044967
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200932
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2044971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200933
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 745752
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200934
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1649961
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200935
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 213360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200936
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200937
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 700418
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200938
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404450
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200939
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1242233
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200940
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 616116
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0