CMS Formulary

Displaying 201741-201750 of 1611142 results.
ID: 201741
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 309367
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201742
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198014
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201743
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311753
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 201744
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1299897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201745
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197891
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201746
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201747
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 151029
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 201748
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311265
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201749
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311264
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201750
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897649
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0