CMS Formulary

Displaying 178591-178600 of 1611142 results.
ID: 178591
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1607617
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178592
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 311345
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178593
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198200
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178594
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 349514
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178595
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 351256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178596
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 351257
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178597
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1307427
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 224
Qty Limit Days: 30
ID: 178598
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310261
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178599
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 861416
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178600
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 308459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0