CMS Formulary

Displaying 2141-2150 of 1611142 results.
ID: 2141
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 798428
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2142
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1986830
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 365
ID: 2143
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 798482
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2144
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 798479
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2145
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300378
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2146
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300370
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2147
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 805579
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2148
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 901518
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2149
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 830463
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2150
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601407
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0