CMS Formulary

Displaying 178741-178750 of 1611142 results.
ID: 178741
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 212232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178742
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 212373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178743
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1946772
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178744
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198181
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178745
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 251322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178746
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242611
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178747
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242613
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178748
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1663728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178749
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178750
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 763457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0