CMS Formulary

Displaying 179651-179660 of 1611142 results.
ID: 179651
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1368459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179652
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 751970
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179653
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 836358
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179654
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 349590
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179655
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 311286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179656
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 242754
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179657
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191250
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179658
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 207373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179659
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1245268
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179660
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 885209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0