CMS Formulary

Displaying 201041-201050 of 1611142 results.
ID: 201041
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197625
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201042
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197626
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201043
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197627
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201044
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197628
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201045
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199390
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201046
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197553
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201047
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 328160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201048
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310490
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201049
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310488
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201050
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 993687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0