CMS Formulary

Displaying 201981-201990 of 1611142 results.
ID: 201981
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201982
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201983
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201984
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966187
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201985
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2104866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201986
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966196
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201987
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966202
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201988
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 966207
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201989
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2282414
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 201990
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2283236
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1