CMS Formulary

Displaying 177231-177240 of 1611142 results.
ID: 177231
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 199521
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177232
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177233
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198077
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177234
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198078
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177235
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177236
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313472
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177237
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177238
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177239
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 312615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177240
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0