CMS Formulary

Displaying 175891-175900 of 1611142 results.
ID: 175891
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1245919
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175892
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1242786
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175893
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 200329
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175894
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 864681
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175895
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 307731
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175896
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 864675
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175897
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 835726
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175898
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 349373
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175899
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 485647
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 175900
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 197572
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0