CMS Formulary

Displaying 178991-179000 of 1611142 results.
ID: 178991
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 857336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178992
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 857321
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178993
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 857328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178994
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 857340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178995
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 259081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178996
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 835603
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 178997
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 283536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178998
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 199387
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 178999
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 312085
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179000
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 308429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0