CMS Formulary

Displaying 201971-201980 of 1611142 results.
ID: 201971
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2178409
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201972
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2382991
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201973
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2382993
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201974
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2272630
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 201975
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2272622
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 201976
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2272636
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 201977
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 201978
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201979
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201980
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966166
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0