CMS Formulary

Displaying 201131-201140 of 1611142 results.
ID: 201131
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 204874
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201132
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313415
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201133
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1006120
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201134
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197310
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201135
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309045
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201136
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201137
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 212039
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201138
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 212232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201139
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 212373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201140
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1946772
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0