CMS Formulary

Displaying 201371-201380 of 1611142 results.
ID: 201371
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201372
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857321
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201373
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201374
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201375
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 259081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201376
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835603
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201377
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 283536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201378
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199387
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 1
ID: 201379
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312085
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201380
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0