CMS Formulary

Displaying 178051-178060 of 1611142 results.
ID: 178051
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 577776
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178052
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178053
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178054
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178055
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653217
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178056
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 851750
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178057
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 251575
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178058
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 860225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178059
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1111018
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178060
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 212381
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0