CMS Formulary

Displaying 2641-2650 of 1611142 results.
ID: 2641
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801519
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 2642
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 539789
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 9
Qty Limit Days: 30
ID: 2643
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 856666
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 2644
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 979115
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 28
ID: 2645
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1244062
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 28
ID: 2646
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1244064
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 11
Qty Limit Days: 28
ID: 2647
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1596778
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2648
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1673274
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 2649
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1673278
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 2650
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1673280
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28