CMS Formulary

Displaying 176161-176170 of 1611142 results.
ID: 176161
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2282414
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176162
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2283236
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176163
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 848333
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176164
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 848343
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176165
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1665906
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176166
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1665900
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176167
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 1801322
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176168
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2262446
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176169
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2123034
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176170
Formulary ID: 00021075
Formulary Version: 23
Contract Year: 2021
RXCUI: 2274390
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0