CMS Formulary

Displaying 177111-177120 of 1611142 results.
ID: 177111
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 991061
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177112
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 857683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177113
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177114
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198202
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177115
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 857677
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177116
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1245443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177117
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1245373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177118
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309329
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177119
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 314078
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177120
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197635
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0