CMS Formulary

Displaying 201791-201800 of 1611142 results.
ID: 201791
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1876916
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201792
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 308725
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201793
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 855657
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201794
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1812011
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201795
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1812013
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201796
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 260260
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201797
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1370758
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 201798
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311382
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201799
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1366550
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201800
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 861668
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0