CMS Formulary

Displaying 179941-179950 of 1611142 results.
ID: 179941
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2099956
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 179942
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2058926
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 179943
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2047602
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179944
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2047608
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179945
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2047614
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179946
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2047596
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179947
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2047623
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179948
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2463737
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179949
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2463733
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179950
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 2105856
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30