CMS Formulary

Displaying 2381-2390 of 1611142 results.
ID: 2381
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2382
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946772
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2383
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 198181
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2384
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 251322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2385
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 763457
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2386
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653792
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2387
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1719766
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2388
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667666
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2389
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667670
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2390
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667674
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30