CMS Formulary

Displaying 3331-3340 of 1611142 results.
ID: 3331
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597099
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 365
ID: 3332
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597103
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 365
ID: 3333
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1292443
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3334
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 804186
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3335
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1292459
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 365
ID: 3336
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658106
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3337
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658102
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3338
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 798451
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3339
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 830263
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3340
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658150
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0