CMS Formulary

Displaying 178541-178550 of 1611142 results.
ID: 178541
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1102277
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178542
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 205918
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178543
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 205922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178544
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 205924
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178545
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1721690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178546
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 212219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178547
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 213475
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178548
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 794610
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178549
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 831870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178550
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 850457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0