CMS Formulary

Displaying 178861-178870 of 1611142 results.
ID: 178861
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1356563
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178862
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1356572
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178863
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1356576
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178864
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1356580
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178865
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1356584
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178866
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1356588
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178867
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1790126
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178868
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 824299
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178869
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 824303
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178870
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1092360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0