CMS Formulary

Displaying 2131-2140 of 1611142 results.
ID: 2131
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000023
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 2132
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000027
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 2133
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000031
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 2134
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300386
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2135
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 829989
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2136
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 830552
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2137
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 830557
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2138
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 803371
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2139
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300810
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2140
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 798430
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0