CMS Formulary

Displaying 179511-179520 of 1611142 results.
ID: 179511
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197854
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179512
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179513
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310003
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179514
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310004
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179515
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179516
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179517
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197682
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179518
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 866910
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179519
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 308867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179520
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198037
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0