CMS Formulary

Displaying 2391-2400 of 1611142 results.
ID: 2391
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667678
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2392
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1741747
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2393
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1809471
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2394
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243346
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2395
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243326
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2396
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243330
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2397
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243229
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2398
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 616148
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2399
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 901614
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2400
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1147337
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0