CMS Formulary

Displaying 201201-201210 of 1611142 results.
ID: 201201
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 859975
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201202
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 283316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201203
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 283317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201204
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 477130
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201205
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 849389
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201206
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201207
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201208
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1536490
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201209
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201210
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1049696
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0