CMS Formulary

Displaying 3151-3160 of 1611142 results.
ID: 3151
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1421461
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3152
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044928
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 3153
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044932
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 3154
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049884
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 3155
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045959
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 3156
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045961
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 3157
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045958
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 3158
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055286
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3159
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2265701
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 3160
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283505
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30