CMS Formulary

Displaying 201861-201870 of 1611142 results.
ID: 201861
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 483446
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201862
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 312515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201863
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310155
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201864
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 315090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201865
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 310157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201866
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1366192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201867
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201868
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1744001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201869
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1744005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201870
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1744009
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0