CMS Formulary

Displaying 2191-2200 of 1611142 results.
ID: 2191
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2274816
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 2192
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2274814
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 2193
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044355
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 2194
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044357
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 2195
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044969
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 2196
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044967
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 2197
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044971
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 2198
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649961
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 30
ID: 2199
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1550946
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2200
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 213360
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30