CMS Formulary

Displaying 2181-2190 of 1611142 results.
ID: 2181
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659818
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 2182
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659814
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 2183
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658325
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 2184
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658329
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2185
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658333
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2186
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658337
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2187
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658341
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2188
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658345
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2189
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602604
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 2190
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602607
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28