CMS Formulary

Displaying 177061-177070 of 1611142 results.
ID: 177061
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177062
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659294
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177063
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 206423
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177064
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177065
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177066
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177067
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177068
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 800192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177069
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177070
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0