CMS Formulary

Displaying 179781-179790 of 1611142 results.
ID: 179781
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1046920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179782
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797888
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179783
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 404457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179784
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 404458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179785
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 404459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179786
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1549456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179787
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1549454
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179788
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 882533
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179789
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205562
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179790
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 848330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0