CMS Formulary

Displaying 175731-175740 of 1611142 results.
ID: 175731
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175732
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197904
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175733
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197905
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175734
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 311353
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175735
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 311354
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175736
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175737
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197885
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175738
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197886
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175739
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197887
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175740
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 314203
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0