CMS Formulary

Displaying 1881-1890 of 1611142 results.
ID: 1881
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2174390
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 1882
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243052
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 1883
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1606866
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 1884
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2257013
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28
ID: 1885
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1606870
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 1886
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2053519
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 1887
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2166401
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 1888
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999389
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 1889
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1812470
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 1890
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1655934
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30