CMS Formulary

Displaying 1601-1610 of 1611142 results.
ID: 1601
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 796918
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1602
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649996
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 1603
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650004
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 1604
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 582984
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1605
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122661
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1606
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122659
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1607
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122657
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1608
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122655
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1609
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122650
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1610
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122648
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0