CMS Formulary

Displaying 179601-179610 of 1611142 results.
ID: 179601
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2199308
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179602
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2199312
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179603
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2199316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179604
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 483450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 179605
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 483438
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 179606
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 483440
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 179607
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 483444
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 179608
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2178403
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179609
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2178405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179610
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2382990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0