CMS Formulary

Displaying 178001-178010 of 1611142 results.
ID: 178001
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2122526
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178002
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380551
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178003
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2374566
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178004
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197839
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178005
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313447
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178006
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 861402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178007
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 835593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178008
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 835564
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178009
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 835568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178010
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0