CMS Formulary

Displaying 179441-179450 of 1611142 results.
ID: 179441
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 801966
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179442
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830877
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179443
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830879
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179444
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830882
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179445
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179446
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 245723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179447
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198363
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179448
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 200220
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179449
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179450
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830845
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0