CMS Formulary

Displaying 201081-201090 of 1611142 results.
ID: 201081
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855818
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201082
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855812
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201083
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1665093
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201084
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1665088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201085
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310467
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201086
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 992395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201087
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201088
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201089
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 731541
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201090
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0