CMS Formulary

Displaying 176901-176910 of 1611142 results.
ID: 176901
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176902
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197439
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176903
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1298861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176904
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1298870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176905
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 314034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176906
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176907
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176908
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176909
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198297
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176910
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0