CMS Formulary

Displaying 201491-201500 of 1611142 results.
ID: 201491
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 722131
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201492
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860715
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201493
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860695
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201494
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860707
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201495
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201496
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 419849
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201497
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1800499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201498
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1800500
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201499
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 992150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201500
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403818
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0