CMS Formulary

Displaying 178301-178310 of 1611142 results.
ID: 178301
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 844813
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178302
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 844591
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178303
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 844829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178304
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 905394
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178305
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 404539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178306
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 748977
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178307
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178308
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091629
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178309
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091635
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178310
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091638
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0