CMS Formulary

Displaying 178871-178880 of 1611142 results.
ID: 178871
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2054157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178872
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796665
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178873
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1604384
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178874
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2054159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178875
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1604350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178876
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1792393
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178877
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1604395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178878
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1604352
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178879
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 212118
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178880
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 542370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0