CMS Formulary

Displaying 179681-179690 of 1611142 results.
ID: 179681
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2395785
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 179682
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2370170
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 179683
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1946836
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 179684
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1946840
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 179685
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1946844
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 179686
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2180671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179687
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1946848
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 179688
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 865098
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179689
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 752388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179690
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 731281
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0