CMS Formulary

Displaying 172631-172640 of 1611142 results.
ID: 172631
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 978757
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172632
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 978741
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172633
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 978745
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172634
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2103175
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172635
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 978747
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172636
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2103179
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172637
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 978778
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172638
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 810075
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172639
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 810079
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172640
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2284108
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0