CMS Formulary

Displaying 178471-178480 of 1611142 results.
ID: 178471
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178472
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 829989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178473
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178474
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178475
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 803371
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178476
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178477
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 798430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178478
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 798428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178479
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1986830
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178480
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 798482
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0