CMS Formulary

Displaying 201341-201350 of 1611142 results.
ID: 201341
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1600915
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201342
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1600917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201343
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309952
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201344
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197622
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201345
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309955
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201346
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1117531
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201347
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1116758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201348
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 730834
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 1
ID: 201349
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309077
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201350
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0