CMS Formulary

Displaying 176791-176800 of 1611142 results.
ID: 176791
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 904593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176792
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 848951
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176793
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 835958
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176794
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 834346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176795
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 993466
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176796
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 993470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176797
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 993462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176798
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1867547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176799
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2047868
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176800
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 608934
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0