CMS Formulary

Displaying 177881-177890 of 1611142 results.
ID: 177881
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310465
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177882
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085640
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177883
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1244634
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177884
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085633
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177885
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177886
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197735
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177887
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 543546
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 28
ID: 177888
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085644
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177889
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1014314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177890
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085686
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0