CMS Formulary

Displaying 1871-1880 of 1611142 results.
ID: 1871
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1193341
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1872
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1193337
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1873
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1193345
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1874
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1193349
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1875
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1193353
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1876
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2359344
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 21
ID: 1877
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2359348
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 21
ID: 1878
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2359340
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 21
ID: 1879
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2361300
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 1880
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2361296
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30