CMS Formulary

Displaying 3601-3610 of 1611142 results.
ID: 3601
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923054
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 49
Qty Limit Days: 28
ID: 3602
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801840
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 3603
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923056
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 70
Qty Limit Days: 28
ID: 3604
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923058
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 91
Qty Limit Days: 28
ID: 3605
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2002719
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 3606
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058981
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 3607
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123314
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3608
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2121096
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 3609
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2121100
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 3610
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2390954
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28