CMS Formulary

Displaying 179821-179830 of 1611142 results.
ID: 179821
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373327
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179822
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 905164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179823
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 688242
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179824
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179825
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 208513
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179826
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 404550
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179827
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 150840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179828
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 208949
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179829
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 202301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179830
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0