CMS Formulary

Displaying 201141-201150 of 1611142 results.
ID: 201141
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198181
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201142
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 251322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201143
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 763457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201144
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1667666
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201145
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1667670
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201146
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1667674
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201147
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1667678
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201148
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1741747
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201149
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1809471
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201150
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1243346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0