CMS Formulary

Displaying 178611-178620 of 1611142 results.
ID: 178611
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197980
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178612
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 544455
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178613
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 617322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178614
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 863599
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178615
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309686
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178616
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 312055
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178617
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085745
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178618
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 992432
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178619
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178620
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0