CMS Formulary

Displaying 173031-173040 of 1611142 results.
ID: 173031
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 896023
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173032
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 213484
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173033
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 759473
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173034
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 896185
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173035
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 896212
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173036
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 896229
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173037
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 896237
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173038
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 896245
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173039
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 896273
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173040
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 895996
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0