CMS Formulary

Displaying 201851-201860 of 1611142 results.
ID: 201851
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201852
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 200311
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201853
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310431
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201854
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1731020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201855
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 751563
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201856
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 753451
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201857
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 751139
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201858
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 728113
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 1
ID: 201859
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 483442
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201860
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 483448
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0