CMS Formulary

Displaying 179981-179990 of 1611142 results.
ID: 179981
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1115459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179982
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1115464
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179983
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1115473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179984
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1946522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179985
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 727705
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 179986
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1655728
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 179987
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 825170
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 180
ID: 179988
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 1801278
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 180
ID: 179989
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 847741
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 179990
Formulary ID: 00021079
Formulary Version: 13
Contract Year: 2021
RXCUI: 835892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0