CMS Formulary

Displaying 179131-179140 of 1611142 results.
ID: 179131
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729061
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179132
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729065
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179133
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729013
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179134
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729029
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179135
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729033
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179136
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729047
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179137
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179138
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2261800
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179139
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1799001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179140
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1790317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0