CMS Formulary

Displaying 176101-176110 of 1611142 results.
ID: 176101
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2045961
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176102
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2045958
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176103
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2055286
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176104
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2265701
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176105
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2283505
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176106
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2283515
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176107
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2283518
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176108
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2283509
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176109
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2283513
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176110
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2283538
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0