CMS Formulary

Displaying 176981-176990 of 1611142 results.
ID: 176981
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000097
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176982
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 966787
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 176983
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 966793
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 176984
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176985
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830869
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176986
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176987
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 208327
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176988
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 260350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176989
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 260351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 176990
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 432401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0