CMS Formulary

Displaying 201831-201840 of 1611142 results.
ID: 201831
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199889
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201832
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311486
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201833
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 904396
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 201834
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 199672
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201835
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 252559
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201836
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 239238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201837
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 602393
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201838
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 432402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201839
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 485423
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201840
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 485421
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0