CMS Formulary

Displaying 201751-201760 of 1611142 results.
ID: 201751
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201752
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349595
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201753
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 608143
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201754
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 608139
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201755
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201756
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897640
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201757
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897781
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201758
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201759
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 897844
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201760
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855480
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30