CMS Formulary

Displaying 201651-201660 of 1611142 results.
ID: 201651
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199352
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201652
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201653
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 261962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201654
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199147
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201655
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201656
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1649990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201657
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1650030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201658
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201659
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 728109
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 1
ID: 201660
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312122
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1