CMS Formulary

Displaying 175871-175880 of 1611142 results.
ID: 175871
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 349595
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175872
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 608143
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175873
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 608139
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175874
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 897659
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175875
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 897640
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175876
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 897781
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175877
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 897783
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175878
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 897844
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175879
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 855480
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175880
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 855474
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0