CMS Formulary

Displaying 201061-201070 of 1611142 results.
ID: 201061
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1797865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201062
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1797867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201063
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201064
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1992299
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201065
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 904481
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201066
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 260218
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201067
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205324
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201068
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 617312
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201069
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 617310
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201070
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 617311
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0