CMS Formulary

Displaying 172661-172670 of 1611142 results.
ID: 172661
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2048568
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172662
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2102440
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172663
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2478437
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172664
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2102456
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172665
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2099956
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172666
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2058926
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172667
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2102460
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172668
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2047602
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172669
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2047608
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 172670
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2047614
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0