CMS Formulary

Displaying 202011-202020 of 1611142 results.
ID: 202011
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198050
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202012
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 198049
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202013
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1251334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202014
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1190110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202015
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 1368459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202016
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 751970
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202017
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 836358
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202018
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 349590
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202019
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202020
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 242754
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0