CMS Formulary

Displaying 201561-201570 of 1611142 results.
ID: 201561
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 643125
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201562
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 643127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201563
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 352210
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201564
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201565
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 860898
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201566
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1361615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201567
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1361226
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201568
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861363
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201569
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201570
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861356
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0