CMS Formulary

Displaying 2071-2080 of 1611142 results.
ID: 2071
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1046402
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2072
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649491
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2073
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649495
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2074
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2168596
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2075
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045638
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 2076
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2120195
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 2077
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123191
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 2078
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 727537
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2079
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648162
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2080
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648160
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0