CMS Formulary

Displaying 201271-201280 of 1611142 results.
ID: 201271
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1364362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201272
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1364358
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201273
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2473042
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201274
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2049271
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 201275
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2049278
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 201276
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 790288
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201277
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 790264
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201278
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201279
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201280
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 284215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0