CMS Formulary

Displaying 200951-200960 of 1611142 results.
ID: 200951
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2197501
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200952
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2396770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200953
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2396774
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200954
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 727816
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200955
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1650901
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200956
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1370982
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200957
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 809477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200958
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2123137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200959
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2123141
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200960
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2123145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0