CMS Formulary

Displaying 176581-176590 of 1611142 results.
ID: 176581
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1923424
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176582
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 904589
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176583
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309043
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176584
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 894859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176585
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 866042
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176586
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 855288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176587
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 855302
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176588
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 855312
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176589
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 855318
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176590
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 855324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0