CMS Formulary

Displaying 201781-201790 of 1611142 results.
ID: 201781
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311877
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201782
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 644088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201783
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 866905
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201784
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1251336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201785
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 749157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201786
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1989507
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201787
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1053697
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201788
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197849
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201789
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1876920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201790
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1876924
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0