CMS Formulary

Displaying 179831-179840 of 1611142 results.
ID: 179831
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000497
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179832
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179833
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000500
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179834
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000487
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179835
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 352228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179836
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179837
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 198148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179838
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797833
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 179839
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797844
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 179840
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 393245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0