CMS Formulary

Displaying 176951-176960 of 1611142 results.
ID: 176951
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 311984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176952
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 311985
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176953
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 360344
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176954
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 349477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176955
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 606726
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 176956
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 606730
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176957
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176958
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198325
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176959
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198323
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176960
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 855942
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0