CMS Formulary

Displaying 201311-201320 of 1611142 results.
ID: 201311
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1482513
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201312
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1482517
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201313
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1482523
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201314
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1482527
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201315
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1235249
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201316
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1040036
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201317
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1431237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201318
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1040043
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201319
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1297357
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201320
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1356693
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0