CMS Formulary

Displaying 179491-179500 of 1611142 results.
ID: 179491
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 751139
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179492
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 728113
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179493
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 483442
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 179494
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 483448
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 179495
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 483446
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 179496
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 312515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179497
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310155
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179498
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 315090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179499
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 310157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179500
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795598
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0