CMS Formulary

Displaying 178751-178760 of 1611142 results.
ID: 178751
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653792
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 178752
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1719766
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 178753
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1667666
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178754
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1667670
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178755
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1667674
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178756
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1667678
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178757
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1741747
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 7
Qty Limit Days: 30
ID: 178758
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1243346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178759
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1243326
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178760
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1243330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0