CMS Formulary

Displaying 201711-201720 of 1611142 results.
ID: 201711
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201712
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 845488
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201713
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861736
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201714
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861740
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201715
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312817
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201716
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201717
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 359500
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201718
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 577315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201719
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 577317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201720
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 836395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0