CMS Formulary

Displaying 201121-201130 of 1611142 results.
ID: 201121
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 831109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201122
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 978573
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201123
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201124
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1605071
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201125
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1605075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201126
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314072
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201127
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 244967
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201128
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309680
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201129
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309679
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201130
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1376336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0