CMS Formulary

Displaying 2211-2220 of 1611142 results.
ID: 2211
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369728
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 2212
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369732
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 2213
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369736
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 2214
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940376
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2215
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940372
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2216
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2197501
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 2217
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2396770
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 28
ID: 2218
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2396774
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 28
ID: 2219
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2288433
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2220
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2288412
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30