CMS Formulary

Displaying 201011-201020 of 1611142 results.
ID: 201011
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310261
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201012
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201013
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 141963
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201014
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198317
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 201015
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198318
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 201016
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309332
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 75
Qty Limit Days: 30
ID: 201017
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201018
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000126
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 90
ID: 201019
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201020
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311727
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0