CMS Formulary

Displaying 175451-175460 of 1611142 results.
ID: 175451
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1098134
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175452
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 577033
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175453
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 995624
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175454
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2266506
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175455
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 857336
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175456
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 857321
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175457
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 857328
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175458
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 857340
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175459
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 259081
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175460
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 835603
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0