CMS Formulary

Displaying 177991-178000 of 1611142 results.
ID: 177991
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 729201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177992
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 729203
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177993
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177994
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796083
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177995
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433879
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177996
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1546894
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177997
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1857913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177998
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1857917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177999
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1857925
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178000
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1989506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0