CMS Formulary

Displaying 176881-176890 of 1611142 results.
ID: 176881
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176882
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176883
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176884
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176885
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 312128
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176886
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 240637
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176887
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 800420
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176888
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 800405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176889
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 801405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176890
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 800438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0