CMS Formulary

Displaying 176311-176320 of 1611142 results.
ID: 176311
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 404457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176312
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 404458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176313
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 404459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176314
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1549456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176315
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1549454
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176316
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 205562
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176317
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011987
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176318
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 861206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176319
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 904170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176320
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1604544
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0