CMS Formulary

Displaying 176871-176880 of 1611142 results.
ID: 176871
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1863973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176872
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 630796
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176873
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1863605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176874
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 615099
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176875
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 615100
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176876
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176877
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 637551
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176878
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 237367
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176879
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176880
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0