CMS Formulary

Displaying 201261-201270 of 1611142 results.
ID: 201261
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 212118
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201262
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 542370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201263
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1988768
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201264
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1921228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201265
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1988772
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201266
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1988786
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201267
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1723763
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201268
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1723767
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201269
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1723772
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201270
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1726639
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0