CMS Formulary

Displaying 177361-177370 of 1611142 results.
ID: 177361
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 991044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177362
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 991188
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177363
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 584414
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177364
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 857297
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177365
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 857301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177366
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 857305
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177367
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 855292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177368
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 855306
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177369
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 855316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177370
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 855322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0