CMS Formulary

Displaying 201581-201590 of 1611142 results.
ID: 201581
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 317174
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201582
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312745
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201583
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 616483
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201584
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312743
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201585
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 637173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201586
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312840
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 30
ID: 201587
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314209
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 30
ID: 201588
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201589
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197805
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201590
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197806
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0