CMS Formulary

Displaying 179611-179620 of 1611142 results.
ID: 179611
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2178407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179612
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2178409
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179613
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2382991
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179614
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2382993
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179615
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272630
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 179616
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272622
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 179617
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272636
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 179618
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 179619
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 966153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179620
Formulary ID: 00021078
Formulary Version: 13
Contract Year: 2021
RXCUI: 966160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0