CMS Formulary

Displaying 2901-2910 of 1611142 results.
ID: 2901
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1599949
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 2902
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 848180
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2903
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123072
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 17
Qty Limit Days: 30
ID: 2904
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 314076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2905
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 314077
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2906
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 205326
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2907
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 646456
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 2908
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 848768
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 2909
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1738511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2910
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 205316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0