CMS Formulary

Displaying 178481-178490 of 1611142 results.
ID: 178481
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 798479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178482
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178483
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178484
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 805579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178485
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 901518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178486
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 830463
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178487
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1601407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178488
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 809159
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 178489
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 802652
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 178490
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653225
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28