CMS Formulary

Displaying 23171-23180 of 1611142 results.
ID: 23171
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 855296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23172
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 855332
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23173
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 855344
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23174
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 242461
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23175
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 242462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23176
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 856467
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23177
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 311666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23178
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 311668
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23179
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 314234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 23180
Formulary ID: 00021007
Formulary Version: 14
Contract Year: 2021
RXCUI: 308177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0