CMS Formulary

Displaying 176001-176010 of 1611142 results.
ID: 176001
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 483442
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176002
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 483448
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176003
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 483446
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176004
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 312515
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176005
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 310155
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176006
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 315090
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176007
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 310157
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176008
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1795598
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176009
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1366192
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176010
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1796922
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0