CMS Formulary

Displaying 201941-201950 of 1611142 results.
ID: 201941
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2283515
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 201942
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2283518
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 201943
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2283509
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 201944
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2283513
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 201945
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2283538
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 201946
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2283536
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 201947
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2283540
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 201948
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 311944
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201949
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2058520
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 201950
Formulary ID: 00021084
Formulary Version: 18
Contract Year: 2021
RXCUI: 2058525
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0