CMS Formulary

Displaying 1821-1830 of 1611142 results.
ID: 1821
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1439899
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 1822
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1439901
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 1823
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1439903
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 1824
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2105657
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 1825
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2105645
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1826
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2105653
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 1827
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2180336
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 1828
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 615979
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 1829
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 207059
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 15
Qty Limit Days: 30
ID: 1830
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 211140
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30