CMS Formulary

Displaying 64481-64490 of 1611142 results.
ID: 64481
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 198335
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64482
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 979468
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64483
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 979464
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64484
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 979471
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64485
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 198188
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64486
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 313134
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64487
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 562508
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64488
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 617430
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64489
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 199884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64490
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 311296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0