CMS Formulary

Displaying 3261-3270 of 1611142 results.
ID: 3261
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2395785
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 3262
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2370170
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 3263
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047247
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3264
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2256947
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 30
ID: 3265
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946836
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 3266
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2256943
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 30
ID: 3267
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2205474
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3268
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946840
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 3269
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946844
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 3270
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946848
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28