CMS Formulary

Displaying 178891-178900 of 1611142 results.
ID: 178891
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2473042
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178892
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2049271
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178893
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2049278
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 178894
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 483427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178895
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 483425
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178896
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178897
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178898
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 284215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178899
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658221
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178900
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 544840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0