CMS Formulary

Displaying 201281-201290 of 1611142 results.
ID: 201281
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1658221
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201282
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 544840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201283
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313165
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 30
ID: 201284
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 865129
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201285
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1807513
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201286
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313416
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201287
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1726214
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201288
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1721458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201289
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1721460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201290
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1726204
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0