CMS Formulary

Displaying 176781-176790 of 1611142 results.
ID: 176781
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 892342
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 176782
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 892349
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 176783
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 892355
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 176784
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 892297
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 176785
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 894942
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 176786
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 894970
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 176787
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 351264
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176788
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 904605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176789
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 904571
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176790
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 904583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0