CMS Formulary

Displaying 173871-173880 of 1611142 results.
ID: 173871
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 721791
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173872
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 721794
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173873
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 721796
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173874
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 895670
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173875
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197319
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173876
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197320
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173877
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197527
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173878
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197528
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173879
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197529
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173880
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 312744
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0