CMS Formulary

Displaying 201721-201730 of 1611142 results.
ID: 201721
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198116
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201722
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 833234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201723
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349253
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201724
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 656659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201725
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 905158
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201726
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199376
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201727
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199381
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201728
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 898490
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201729
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201730
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311919
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0