CMS Formulary

Displaying 178681-178690 of 1611142 results.
ID: 178681
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 992395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178682
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 607295
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178683
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 860103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178684
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178685
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 745462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178686
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 731541
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178687
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 836307
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178688
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178689
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178690
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 731571
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0