CMS Formulary

Displaying 1341-1350 of 1611142 results.
ID: 1341
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1724340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1342
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 312075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1343
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 308345
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1344
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197636
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1345
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 260243
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1346
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 312641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1347
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1312625
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1348
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1365660
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1349
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1365847
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1350
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1365850
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0