CMS Formulary

Displaying 202121-202130 of 1611142 results.
ID: 202121
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1292443
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202122
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 804186
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202123
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1292459
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202124
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1658106
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202125
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1658102
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202126
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 798451
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202127
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 830263
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202128
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1658150
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202129
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2055815
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 202130
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 835721
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0