CMS Formulary

Displaying 201591-201600 of 1611142 results.
ID: 201591
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197807
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201592
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201593
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311204
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201594
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 898715
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201595
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 282755
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201596
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201597
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205305
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201598
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 409823
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201599
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 849833
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201600
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 892582
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0