CMS Formulary

Displaying 178041-178050 of 1611142 results.
ID: 178041
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178042
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 250820
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178043
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 858751
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178044
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 858733
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178045
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 848943
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178046
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1801279
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178047
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 207362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178048
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 403840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178049
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 207364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178050
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1146690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0