CMS Formulary

Displaying 201811-201820 of 1611142 results.
ID: 201811
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 200220
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201812
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 830861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201813
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 830845
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201814
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 830837
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201815
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 830801
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201816
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 352257
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201817
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2393794
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201818
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1364477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201819
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1602028
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201820
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1602034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0