CMS Formulary

Displaying 179481-179490 of 1611142 results.
ID: 179481
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 314285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179482
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179483
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198007
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179484
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 198008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179485
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 200311
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179486
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310431
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 179487
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 702306
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179488
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1731020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179489
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 751563
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179490
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 753451
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0