CMS Formulary

Displaying 173231-173240 of 1611142 results.
ID: 173231
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 892251
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173232
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 892255
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173233
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 966270
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173234
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 618557
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173235
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 349477
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173236
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 606726
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173237
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 606730
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173238
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 198324
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173239
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 198325
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173240
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 198323
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0