CMS Formulary

Displaying 174921-174930 of 1611142 results.
ID: 174921
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1659818
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174922
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1659814
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174923
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 849831
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174924
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1998457
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174925
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1998463
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174926
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1998453
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174927
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1998455
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174928
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1998459
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174929
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1998461
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 174930
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1658325
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0