CMS Formulary

Displaying 2261-2270 of 1611142 results.
ID: 2261
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197782
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2262
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2263
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 313142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2264
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 312347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2265
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1048450
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2266
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1020065
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 2267
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1048445
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2268
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 855626
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2269
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 855194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2270
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607617
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30