CMS Formulary

Displaying 201291-201300 of 1611142 results.
ID: 201291
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312821
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201292
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 204509
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201293
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312069
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201294
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201295
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1117522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201296
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1664981
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201297
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 859871
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201298
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 204416
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201299
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1722934
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201300
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1807632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0