CMS Formulary

Displaying 178291-178300 of 1611142 results.
ID: 178291
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 856481
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178292
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 860654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178293
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1014673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178294
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 199450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 178295
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 246172
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 178296
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1606337
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 178297
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313498
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178298
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178299
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178300
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 844590
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0