CMS Formulary

Displaying 201251-201260 of 1611142 results.
ID: 201251
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1604384
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201252
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2054159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201253
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1604350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201254
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1792393
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201255
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1604395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201256
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1604352
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201257
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 825335
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201258
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 825333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201259
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 825325
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201260
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 825334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0