CMS Formulary

Displaying 178601-178610 of 1611142 results.
ID: 178601
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 141963
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178602
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309332
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 178603
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197519
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 178604
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000126
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178605
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178606
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178607
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 311727
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178608
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 317128
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178609
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178610
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0