CMS Formulary

Displaying 173941-173950 of 1611142 results.
ID: 173941
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 309044
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173942
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 313888
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173943
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 309042
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173944
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173945
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1012021
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173946
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 849506
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173947
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1797863
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173948
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 213262
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173949
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 545259
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 173950
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1099503
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0