CMS Formulary

Displaying 176861-176870 of 1611142 results.
ID: 176861
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1794886
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176862
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176863
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 801357
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176864
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 801112
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176865
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176866
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 242816
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176867
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1870633
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176868
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176869
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1799706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176870
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 801648
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0