CMS Formulary

Displaying 2151-2160 of 1611142 results.
ID: 2151
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 809159
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2152
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 802652
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2153
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653225
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2154
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2182340
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2155
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2392142
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2156
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 261105
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2157
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310531
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2158
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310535
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2159
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1547231
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2160
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2110618
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30