CMS Formulary

Displaying 1811-1820 of 1611142 results.
ID: 1811
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923432
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1812
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 477391
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1813
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197877
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 1814
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1010739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1815
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 391937
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1816
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197305
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1817
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 212787
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1818
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1312408
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28
ID: 1819
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1439894
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 1820
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1439896
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30