CMS Formulary

Displaying 201681-201690 of 1611142 results.
ID: 201681
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201682
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314077
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201683
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205326
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201684
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 646456
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 201685
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310154
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201686
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848768
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201687
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1738511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201688
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201689
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 205315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201690
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0