CMS Formulary

Displaying 201521-201530 of 1611142 results.
ID: 201521
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1729029
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201522
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1729033
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201523
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1729047
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201524
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1729076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201525
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377354
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201526
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377338
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201527
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377342
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201528
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377344
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201529
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201530
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0