CMS Formulary

Displaying 201961-201970 of 1611142 results.
ID: 201961
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2199316
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 201962
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1303107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201963
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 483450
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201964
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 483438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201965
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 483440
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201966
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 483444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201967
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2178403
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201968
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2178405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201969
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2382990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201970
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2178407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0