CMS Formulary

Displaying 177661-177670 of 1611142 results.
ID: 177661
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 884173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177662
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 884185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177663
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 884189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177664
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099625
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177665
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 996571
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177666
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 996561
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177667
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 854916
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177668
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 854919
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177669
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 854908
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177670
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 201708
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0