CMS Formulary

Displaying 1541-1550 of 1611142 results.
ID: 1541
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 848742
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1542
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 848746
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1543
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 848750
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1544
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 848730
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1545
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 848734
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1546
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 848752
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1547
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1491624
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 1548
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2468316
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 1549
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2381144
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1550
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 465355
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0