CMS Formulary

Displaying 2951-2960 of 1611142 results.
ID: 2951
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2952
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2953
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2954
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054979
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 2955
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054983
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 2956
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055016
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 2957
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055014
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 2958
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197701
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2959
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310433
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 2960
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310434
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30