CMS Formulary

Displaying 176841-176850 of 1611142 results.
ID: 176841
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1043567
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 176842
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1043582
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 176843
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1043574
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 176844
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486981
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 176845
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486977
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 176846
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1940498
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 176847
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1593831
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 176848
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1593833
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 176849
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1593835
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 176850
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1593775
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30