CMS Formulary

Displaying 201541-201550 of 1611142 results.
ID: 201541
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349591
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201542
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349592
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201543
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201544
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1011736
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201545
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1011739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201546
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 388311
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201547
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 200133
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201548
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 200131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201549
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201550
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861221
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30