CMS Formulary

Displaying 176631-176640 of 1611142 results.
ID: 176631
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309374
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176632
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1299917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176633
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 995218
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176634
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1299896
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176635
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 866090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176636
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 643066
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176637
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1006801
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176638
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 996921
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176639
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 721773
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176640
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 476179
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0