CMS Formulary

Displaying 176811-176820 of 1611142 results.
ID: 176811
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1428933
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176812
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091828
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176813
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 351173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176814
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 351174
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176815
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 351175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176816
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 204520
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176817
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1601982
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176818
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176819
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 244098
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176820
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 245220
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0