CMS Formulary

Displaying 178391-178400 of 1611142 results.
ID: 178391
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178392
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178393
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178394
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178395
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178396
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 207949
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178397
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 966154
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178398
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 966161
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178399
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 966167
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178400
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 966401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0