CMS Formulary

Displaying 201731-201740 of 1611142 results.
ID: 201731
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1649401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201732
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2054979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201733
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2054983
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201734
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2055016
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201735
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2055014
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201736
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197701
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201737
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310433
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201738
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201739
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403966
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201740
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 403967
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0