CMS Formulary

Displaying 2551-2560 of 1611142 results.
ID: 2551
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1482513
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2552
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1482517
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2553
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1482523
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2554
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1482527
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2555
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1235249
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2556
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1040036
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2557
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1431237
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2558
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1040043
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2559
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1297357
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2560
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356693
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0