CMS Formulary

Displaying 176941-176950 of 1611142 results.
ID: 176941
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 966225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176942
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 966249
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176943
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 892251
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176944
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 892255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176945
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 966270
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176946
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 790489
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176947
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 763519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176948
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 763574
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176949
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 763589
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176950
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 618557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0