CMS Formulary

Displaying 179861-179870 of 1611142 results.
ID: 179861
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1874553
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 179862
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 900575
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179863
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 977427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179864
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 977434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179865
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 977438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179866
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1304979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179867
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 892625
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 900
Qty Limit Days: 30
ID: 179868
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311355
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179869
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197893
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179870
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 313932
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0