CMS Formulary

Displaying 2831-2840 of 1611142 results.
ID: 2831
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044726
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2832
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044732
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 2833
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046376
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2834
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046380
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2835
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046370
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2836
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 311288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2837
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 311289
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2838
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 387003
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2839
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 807832
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2840
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 846378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0