CMS Formulary

Displaying 179101-179110 of 1611142 results.
ID: 179101
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 402247
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179102
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 664741
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179103
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 833528
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179104
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 722134
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179105
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 722137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179106
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 722126
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179107
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 722131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179108
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 860715
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179109
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 860695
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179110
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 860707
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0