CMS Formulary

Displaying 174681-174690 of 1611142 results.
ID: 174681
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1426600
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174682
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 748977
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174683
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1091632
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174684
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1091629
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174685
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1091635
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174686
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1091638
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174687
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1091623
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174688
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1543069
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174689
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1010878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174690
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1085741
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0