CMS Formulary

Displaying 179701-179710 of 1611142 results.
ID: 179701
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 351859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179702
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 106892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179703
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 847254
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179704
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 847213
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179705
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1652640
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179706
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 847189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179707
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 847199
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179708
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1731317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179709
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 643177
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 179710
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 643173
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30