CMS Formulary

Displaying 179871-179880 of 1611142 results.
ID: 179871
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 309843
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1200
Qty Limit Days: 30
ID: 179872
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179873
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797907
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 30
ID: 179874
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197730
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179875
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 197731
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179876
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 756059
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179877
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 311376
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 179878
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 864761
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1200
Qty Limit Days: 30
ID: 179879
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 864769
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 600
Qty Limit Days: 30
ID: 179880
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 205301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0