CMS Formulary

Displaying 178961-178970 of 1611142 results.
ID: 178961
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1737789
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178962
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309952
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178963
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197622
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178964
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309955
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178965
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1117531
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178966
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1116758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178967
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 543492
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178968
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440936
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178969
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309077
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178970
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0