CMS Formulary

Displaying 20231-20240 of 1611142 results.
ID: 20231
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 801031
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20232
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 866924
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20233
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197465
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 20234
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197466
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 20235
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 856720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20236
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 198286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20237
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1298857
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20238
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 197464
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 20239
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 856840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 20240
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1298861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0