CMS Formulary

Displaying 178371-178380 of 1611142 results.
ID: 178371
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 349208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178372
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 360110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178373
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 799055
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178374
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 799056
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178375
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 799054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178376
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 206913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178377
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 206917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178378
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1657151
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 178379
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 900156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178380
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 848582
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0