CMS Formulary

Displaying 201161-201170 of 1611142 results.
ID: 201161
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1591949
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201162
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2204104
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201163
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2204102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201164
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1721619
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201165
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1747697
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201166
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1741739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201167
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1799218
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201168
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2288816
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201169
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1939335
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201170
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1999673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0