CMS Formulary

Displaying 177621-177630 of 1611142 results.
ID: 177621
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 206075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177622
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 206078
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177623
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1293504
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177624
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 669081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177625
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1812015
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177626
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 201388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177627
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177628
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1737578
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177629
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177630
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659287
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0