CMS Formulary

Displaying 201321-201330 of 1611142 results.
ID: 201321
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1926823
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201322
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1926827
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201323
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1812434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201324
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866111
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201325
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201326
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1040058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201327
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858804
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201328
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 794641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201329
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 858071
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201330
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 902624
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0