CMS Formulary

Displaying 2221-2230 of 1611142 results.
ID: 2221
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2288431
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2222
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 727816
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 2223
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650901
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 2224
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054995
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 7
Qty Limit Days: 7
ID: 2225
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123137
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28
ID: 2226
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123141
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 2227
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123145
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 2228
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1102277
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2229
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 794610
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2230
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 831870
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0