CMS Formulary

Displaying 2231-2240 of 1611142 results.
ID: 2231
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 850457
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2232
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1236632
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2233
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359271
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2234
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 758555
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2235
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1052660
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2236
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1250723
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2237
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1600710
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2238
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999587
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 2239
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364515
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2240
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2373941
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0