CMS Formulary

Displaying 200961-200970 of 1611142 results.
ID: 200961
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1102277
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200962
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 794610
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200963
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 831870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200964
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 850457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200965
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1236632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200966
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1359271
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200967
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 758555
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200968
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1052660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200969
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1250723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 200970
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1600710
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0