CMS Formulary

Displaying 176601-176610 of 1611142 results.
ID: 176601
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176602
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197454
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176603
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 308177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176604
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 598025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176605
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 617309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176606
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 617316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176607
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 617296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176608
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 757707
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 176609
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 403957
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 176610
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 636664
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0