CMS Formulary

Displaying 178021-178030 of 1611142 results.
ID: 178021
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178022
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 577154
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178023
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178024
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 403969
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178025
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 403972
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178026
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 403970
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178027
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 403971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178028
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197987
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178029
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197986
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178030
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0