CMS Formulary

Displaying 176681-176690 of 1611142 results.
ID: 176681
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 856448
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176682
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 856457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176683
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 856519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176684
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 856578
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176685
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 856556
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176686
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 242831
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176687
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 239239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176688
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 856605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176689
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 903857
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176690
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 856656
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0