CMS Formulary

Displaying 176541-176550 of 1611142 results.
ID: 176541
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1536144
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 176542
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1536148
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 176543
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1720881
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176544
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251596
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176545
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 207035
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176546
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1246313
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 176547
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1246310
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 176548
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 261101
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176549
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 847232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176550
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 285018
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0