CMS Formulary

Displaying 2041-2050 of 1611142 results.
ID: 2041
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 311277
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2042
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099563
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2043
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 904932
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 2044
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 313758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2045
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 199655
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2046
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 349208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2047
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 360110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2048
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 206913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2049
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 206917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2050
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1657151
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28