CMS Formulary

Displaying 1841-1850 of 1611142 results.
ID: 1841
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1232084
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1842
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1232088
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 1843
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1114202
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 1844
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1549683
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1845
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650968
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 84
ID: 1846
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650972
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 1847
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650974
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 1848
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650976
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 84
ID: 1849
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739766
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1850
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739774
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30