CMS Formulary

Displaying 2201-2210 of 1611142 results.
ID: 2201
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 404449
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2202
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 700418
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2203
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 404450
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2204
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1242233
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 2205
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 616116
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 2206
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 616114
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 2207
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 643714
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 2208
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1429367
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 2209
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 643722
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 2210
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369724
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28