CMS Formulary

Displaying 2171-2180 of 1611142 results.
ID: 2171
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049601
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2172
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544404
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2173
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544383
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2174
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544386
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2175
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544388
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2176
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544390
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2177
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544394
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2178
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544396
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2179
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544398
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2180
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544402
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0