CMS Formulary

Displaying 2491-2500 of 1611142 results.
ID: 2491
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1790126
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 720
Qty Limit Days: 30
ID: 2492
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 824299
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2493
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 824303
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2494
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054157
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2495
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1796665
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2496
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604384
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2497
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054159
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2498
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604350
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2499
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1792393
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2500
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604395
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0