CMS Formulary

Displaying 179371-179380 of 1611142 results.
ID: 179371
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310434
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 179372
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 403966
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179373
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 403967
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179374
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1358776
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179375
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 309367
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 45
Qty Limit Days: 28
ID: 179376
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198014
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179377
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 311753
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179378
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1299897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179379
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197891
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179380
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 197892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0