CMS Formulary

Displaying 177461-177470 of 1611142 results.
ID: 177461
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 730866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177462
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 730861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177463
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 730872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177464
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 856373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177465
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 900164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177466
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 850091
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177467
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 850087
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177468
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177469
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197985
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177470
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0