CMS Formulary

Displaying 2991-3000 of 1611142 results.
ID: 2991
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 200329
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2992
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 864681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2993
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 307731
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2994
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 864675
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2995
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 835726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2996
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 349373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2997
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 857216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2998
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 857224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 2999
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 314266
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 100
Qty Limit Days: 30
ID: 3000
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 749784
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0