CMS Formulary

Displaying 179571-179580 of 1611142 results.
ID: 179571
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179572
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179573
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313361
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179574
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197558
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179575
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179576
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 903843
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179577
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2049884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179578
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2045959
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179579
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2045961
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179580
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2045958
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0