CMS Formulary

Displaying 201501-201510 of 1611142 results.
ID: 201501
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 730869
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201502
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201503
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2049264
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201504
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1856424
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201505
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2052064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201506
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861375
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201507
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201508
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1373745
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201509
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1922783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201510
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 485442
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30