CMS Formulary

Displaying 179341-179350 of 1611142 results.
ID: 179341
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 359500
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179342
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 577315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179343
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 577317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179344
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 836395
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 179345
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198116
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179346
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 833234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179347
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 349253
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179348
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 656659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179349
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 905158
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179350
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 199376
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0