CMS Formulary

Displaying 3311-3320 of 1611142 results.
ID: 3311
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 665036
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 3312
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1547114
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 3313
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1547118
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 3314
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1235595
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3315
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1235591
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3316
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 668606
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3317
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 861821
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 3318
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 861771
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 3319
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729311
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 3320
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055766
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0