CMS Formulary

Displaying 179561-179570 of 1611142 results.
ID: 179561
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 856783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179562
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1607796
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179563
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1607792
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179564
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 577348
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 179565
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1673373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179566
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 349287
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179567
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011712
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179568
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011715
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179569
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011752
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179570
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011755
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0