CMS Formulary

Displaying 201991-202000 of 1611142 results.
ID: 201991
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201992
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 848343
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201993
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1665906
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201994
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1665900
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201995
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1801322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201996
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2262446
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201997
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2123034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201998
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2274390
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 1
ID: 201999
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1591943
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202000
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1799212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0