CMS Formulary

Displaying 201051-201060 of 1611142 results.
ID: 201051
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 993691
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201052
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 903887
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201053
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 903891
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201054
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 903884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201055
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 242446
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201056
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 213291
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201057
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1111339
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201058
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860805
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201059
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 284008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201060
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313919
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0