CMS Formulary

Displaying 177321-177330 of 1611142 results.
ID: 177321
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 545835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177322
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 645884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177323
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 754508
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177324
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197411
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177325
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310600
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177326
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 403850
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177327
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 810090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177328
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 403851
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177329
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 810083
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177330
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 403852
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0