CMS Formulary

Displaying 20181-20190 of 1611142 results.
ID: 20181
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 351174
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20182
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 351175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20183
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 794639
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20184
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 616578
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 20185
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 801417
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20186
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 204520
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20187
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1799890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20188
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 800928
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20189
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 800812
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20190
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1189640
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0