CMS Formulary

Displaying 211021-211030 of 1611142 results.
ID: 211021
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 753544
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211022
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 750244
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211023
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1806177
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211024
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1806185
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211025
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 748962
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211026
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 831533
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211027
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359134
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211028
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 312138
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211029
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 312839
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 28
ID: 211030
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 312837
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 28