CMS Formulary

Displaying 21201-21210 of 1611142 results.
ID: 21201
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099808
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21202
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1484296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21203
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1190919
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21204
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1244205
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21205
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 830470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21206
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300310
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21207
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21208
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21209
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 21210
Formulary ID: 00021006
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0