CMS Formulary

Displaying 179091-179100 of 1611142 results.
ID: 179091
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 898350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179092
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 898353
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179093
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 898356
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179094
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 898359
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179095
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 898342
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179096
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 898346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179097
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 562266
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179098
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 863669
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179099
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 313581
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 179100
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 402246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0