CMS Formulary

Displaying 201921-201930 of 1611142 results.
ID: 201921
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197698
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201922
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201923
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 856783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201924
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 577348
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 201925
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1992873
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201926
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349287
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201927
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201928
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201929
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 313361
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201930
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 197558
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0