CMS Formulary

Displaying 179911-179920 of 1611142 results.
ID: 179911
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1987734
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 179912
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2058922
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 179913
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2103175
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 179914
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2103179
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 179915
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 810075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179916
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 810079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179917
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2284108
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 179918
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2057205
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179919
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2057216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179920
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2057212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0