CMS Formulary

Displaying 178921-178930 of 1611142 results.
ID: 178921
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795609
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178922
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178923
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 861379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178924
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 861383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178925
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1743549
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178926
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178927
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 581531
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178928
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371050
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178929
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178930
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0