CMS Formulary

Displaying 2301-2310 of 1611142 results.
ID: 2301
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197625
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2302
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197626
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2303
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197627
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2304
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197628
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2305
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 199390
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2306
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197553
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2307
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 328160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2308
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310490
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2309
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310488
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 2310
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 993687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0