CMS Formulary

Displaying 201301-201310 of 1611142 results.
ID: 201301
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1795609
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201302
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1807552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201303
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1743549
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201304
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1795477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201305
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 581531
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201306
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2371050
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201307
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2371054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201308
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2371058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201309
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2371062
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201310
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2371066
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0