CMS Formulary

Displaying 2561-2570 of 1611142 results.
ID: 2561
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1442681
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2562
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1442683
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2563
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2101459
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2564
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2101465
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2565
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926823
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2566
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926827
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 20
Qty Limit Days: 30
ID: 2567
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1809513
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2568
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876671
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2569
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876673
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2570
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876674
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0