CMS Formulary

Displaying 179171-179180 of 1611142 results.
ID: 179171
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 861363
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179172
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 861365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179173
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 861356
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179174
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1737244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179175
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1737581
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179176
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 540617
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179177
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 404419
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179178
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 213337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179179
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 106351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179180
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 308136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0