CMS Formulary

Displaying 174321-174330 of 1611142 results.
ID: 174321
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 830470
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174322
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1300310
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174323
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174324
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174325
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174326
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174327
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174328
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174329
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174330
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0