CMS Formulary

Displaying 2061-2070 of 1611142 results.
ID: 2061
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2062
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2063
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2064
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1492746
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2065
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 727542
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2066
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 727545
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2067
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605455
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2068
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649946
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2069
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649964
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2070
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 993456
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 180