CMS Formulary

Displaying 1991-2000 of 1611142 results.
ID: 1991
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2180999
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1992
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1716268
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1993
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1921598
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1994
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 828348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1995
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369831
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 540
Qty Limit Days: 30
ID: 1996
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1870950
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1997
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1870956
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 1998
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1870952
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 1999
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1870960
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2000
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1870968
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 91
Qty Limit Days: 28