CMS Formulary

Displaying 177981-177990 of 1611142 results.
ID: 177981
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 727316
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 177982
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1870207
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 177983
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2001430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177984
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2003255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177985
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2043464
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177986
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1246321
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177987
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 865208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177988
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 865212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177989
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 865216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 177990
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 723827
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0