CMS Formulary

Displaying 1791-1800 of 1611142 results.
ID: 1791
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2197873
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 1792
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2197877
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 1793
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 205532
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1794
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1592285
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 1795
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1868016
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 1796
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1868020
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 1797
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1727485
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 1798
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1441530
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1799
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242998
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 1800
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2106075
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0