CMS Formulary

Displaying 201601-201610 of 1611142 results.
ID: 201601
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 892672
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201602
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1490026
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201603
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1490034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201604
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1490038
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201605
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313580
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201606
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1996246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201607
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 859081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201608
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 846192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201609
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 759697
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201610
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 759481
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0