CMS Formulary

Displaying 207651-207660 of 1611142 results.
ID: 207651
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 313776
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 207652
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 313777
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 207653
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 313778
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 207654
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 313995
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 207655
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 314214
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207656
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 312835
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207657
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 314215
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207658
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 312836
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207659
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 311277
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207660
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099563
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0