CMS Formulary

Displaying 176971-176980 of 1611142 results.
ID: 176971
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 359144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176972
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 359145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176973
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176974
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1606347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176975
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1606349
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176976
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 242892
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 176977
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1149632
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 176978
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 242891
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 176979
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 248478
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 176980
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0