CMS Formulary

Displaying 175671-175680 of 1611142 results.
ID: 175671
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197807
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175672
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 311347
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175673
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 311204
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175674
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 898715
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175675
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 282755
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175676
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 205304
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175677
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 205305
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175678
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 409823
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175679
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 849833
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175680
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 892582
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0