CMS Formulary

Displaying 201021-201030 of 1611142 results.
ID: 201021
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 317128
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201022
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201023
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1596023
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201024
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201025
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197980
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201026
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 617322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201027
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 863599
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201028
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 995241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201029
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309686
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201030
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312055
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0