CMS Formulary

Displaying 179691-179700 of 1611142 results.
ID: 179691
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1652646
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179692
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1718936
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179693
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1652242
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179694
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1926332
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179695
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1745114
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 179696
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380236
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179697
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380260
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179698
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311036
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179699
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179700
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311026
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0