CMS Formulary

Displaying 174611-174620 of 1611142 results.
ID: 174611
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 310380
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174612
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1313112
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174613
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1370770
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174614
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 855671
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174615
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 311679
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174616
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 105583
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174617
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 199378
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174618
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 402505
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174619
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 402506
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174620
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1313885
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0