CMS Formulary

Displaying 201451-201460 of 1611142 results.
ID: 201451
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198335
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201452
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 433798
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201453
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 979468
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201454
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 979464
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201455
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 979471
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201456
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198188
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201457
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313134
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201458
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 562508
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201459
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 849398
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201460
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 849431
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0