CMS Formulary

Displaying 201101-201110 of 1611142 results.
ID: 201101
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201102
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201103
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201104
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201105
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966233
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201106
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966235
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201107
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201108
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201109
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201110
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0