CMS Formulary

Displaying 176391-176400 of 1611142 results.
ID: 176391
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176392
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197860
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176393
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176394
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197862
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176395
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 105585
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176396
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197931
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176397
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 312617
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176398
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176399
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198146
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176400
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 207100
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0