CMS Formulary

Displaying 177841-177850 of 1611142 results.
ID: 177841
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 597977
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 177842
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 597971
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 177843
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 403908
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177844
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198038
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177845
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198039
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177846
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177847
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177848
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 252478
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177849
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 103968
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177850
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 252479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0