CMS Formulary

Displaying 177891-177900 of 1611142 results.
ID: 177891
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 238151
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177892
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797895
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 177893
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 151030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177894
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 977990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177895
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 977978
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177896
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309289
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 28
ID: 177897
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309291
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177898
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1235049
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177899
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 705129
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177900
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1597120
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 37
Qty Limit Days: 30