CMS Formulary

Displaying 1851-1860 of 1611142 results.
ID: 1851
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2173500
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 1852
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739778
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1853
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739782
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1854
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 795085
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1855
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 849599
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1856
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739770
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1857
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1251914
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 1858
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 722256
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 1859
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1251918
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 1860
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 724142
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30