CMS Formulary

Displaying 176691-176700 of 1611142 results.
ID: 176691
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 856660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176692
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 856652
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176693
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 351133
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176694
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176695
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 834127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176696
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 141935
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176697
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 849385
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176698
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 861848
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176699
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 859835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176700
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0