CMS Formulary

Displaying 178661-178670 of 1611142 results.
ID: 178661
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 485486
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178662
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 485485
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178663
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 485484
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178664
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310818
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178665
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 259255
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178666
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 905028
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 178667
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 905024
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 178668
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 577208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178669
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 205328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178670
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 314155
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30