CMS Formulary

Displaying 201221-201230 of 1611142 results.
ID: 201221
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 686418
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201222
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 476345
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201223
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 476349
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201224
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 476350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201225
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 476351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201226
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201227
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860975
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201228
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860981
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201229
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201230
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0