CMS Formulary

Displaying 2511-2520 of 1611142 results.
ID: 2511
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988786
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2512
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1723763
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 2513
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1723767
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 2514
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1723772
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 2515
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1726639
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2516
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364362
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2517
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364358
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2518
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2473042
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2519
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049271
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2520
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049278
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30