CMS Formulary

Displaying 177181-177190 of 1611142 results.
ID: 177181
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 898362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177182
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 312529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177183
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 977880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177184
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2047882
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177185
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177186
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177187
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 261178
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177188
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313941
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 45
Qty Limit Days: 28
ID: 177189
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177190
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 106303
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0