CMS Formulary

Displaying 201001-201010 of 1611142 results.
ID: 201001
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1048450
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201002
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1048445
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201003
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201004
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1607617
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201005
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311345
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201006
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198200
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201007
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349514
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201008
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201009
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 351257
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201010
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1307427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0