CMS Formulary

Displaying 3031-3040 of 1611142 results.
ID: 3031
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2173841
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 3032
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364477
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3033
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602028
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 3034
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602034
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 3035
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602040
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 3036
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1602046
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 3037
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2265729
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 3038
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2265732
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 3039
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2265735
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 3040
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1809643
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0