CMS Formulary

Displaying 201771-201780 of 1611142 results.
ID: 201771
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 200329
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201772
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 864681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201773
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 307731
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201774
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 864675
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201775
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 835726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201776
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201777
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201778
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 857224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201779
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197572
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 201780
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 314266
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0