CMS Formulary

Displaying 201661-201670 of 1611142 results.
ID: 201661
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 200346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201662
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201663
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201664
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 826612
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201665
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848140
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201666
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848131
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201667
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848145
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201668
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848151
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201669
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848135
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201670
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 854894
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30