CMS Formulary

Displaying 169871-169880 of 1611142 results.
ID: 169871
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000135
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169872
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000141
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169873
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 197658
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169874
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 197659
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169875
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 197657
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169876
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 541878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169877
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 541892
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169878
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 577961
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169879
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 541363
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169880
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 404059
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0