CMS Formulary

Displaying 173181-173190 of 1611142 results.
ID: 173181
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1298857
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173182
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197464
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173183
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 856840
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173184
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197436
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173185
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197437
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173186
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197438
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173187
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197439
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173188
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1298861
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173189
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1298870
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173190
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 314034
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0