CMS Formulary

Displaying 1591-1600 of 1611142 results.
ID: 1591
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 198070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1592
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 401938
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 1593
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 751566
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1594
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 751568
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1595
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 751570
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1596
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 897044
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1597
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 758032
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 1598
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 758027
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 1599
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650282
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1600
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 207836
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0