CMS Formulary

Displaying 178261-178270 of 1611142 results.
ID: 178261
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 834768
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178262
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 835956
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178263
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 748859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178264
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359032
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178265
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359027
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178266
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 903456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178267
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 903697
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178268
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 903703
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178269
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313195
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178270
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198240
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0