CMS Formulary

Displaying 201031-201040 of 1611142 results.
ID: 201031
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1085745
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 201032
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 992432
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201033
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1000054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201034
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201035
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 831252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201036
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 831285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201037
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201038
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197684
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201039
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197685
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201040
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 859186
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0