CMS Formulary

Displaying 177281-177290 of 1611142 results.
ID: 177281
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 312068
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177282
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 314152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177283
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 312071
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177284
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 859867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177285
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177286
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1293639
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177287
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177288
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 311678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177289
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177290
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0