CMS Formulary

Displaying 178501-178510 of 1611142 results.
ID: 178501
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659814
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178502
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 849831
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178503
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658325
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178504
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658329
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178505
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658333
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178506
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658337
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178507
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658341
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178508
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658345
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178509
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1602604
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178510
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1602607
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0