CMS Formulary

Displaying 2481-2490 of 1611142 results.
ID: 2481
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 308988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2482
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2483
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2484
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2485
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356563
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2486
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356572
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2487
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356576
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2488
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356580
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2489
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356584
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2490
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356588
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30