CMS Formulary

Displaying 178321-178330 of 1611142 results.
ID: 178321
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1998631
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178322
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 430902
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178323
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 828348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178324
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1369831
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178325
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1304985
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178326
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1811182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178327
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178328
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 852920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178329
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313096
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178330
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0