CMS Formulary

Displaying 176291-176300 of 1611142 results.
ID: 176291
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176292
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 798300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176293
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830253
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176294
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176295
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 836636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176296
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 836634
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176297
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1597099
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176298
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1597103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176299
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1292443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176300
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 804186
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0