CMS Formulary

Displaying 2521-2530 of 1611142 results.
ID: 2521
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2522
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 284215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2523
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 544840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2524
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 313165
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 2525
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 865129
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2526
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1807513
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2527
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 312447
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2528
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 597823
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2529
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1726214
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2530
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0