CMS Formulary

Displaying 172161-172170 of 1611142 results.
ID: 172161
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 801961
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172162
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 801966
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172163
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 830877
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172164
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 830879
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172165
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 830882
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172166
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 830897
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172167
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 245723
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172168
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 198363
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172169
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 200220
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172170
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 830861
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0