CMS Formulary

Displaying 201571-201580 of 1611142 results.
ID: 201571
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2049891
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201572
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 404419
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201573
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 106351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201574
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198241
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 201575
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198242
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 201576
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 485489
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 201577
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201578
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197361
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201579
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310432
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201580
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0