CMS Formulary

Displaying 173251-173260 of 1611142 results.
ID: 173251
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 834241
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173252
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 359144
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173253
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 359145
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173254
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1000076
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173255
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1606347
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173256
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1606349
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173257
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 242892
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173258
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1149632
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173259
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 242891
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173260
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 248478
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0