CMS Formulary

Displaying 64491-64500 of 1611142 results.
ID: 64491
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 200285
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64492
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 349353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64493
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 636042
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64494
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 636045
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64495
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 251872
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 64496
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 314200
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 64497
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 349483
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64498
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 349199
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64499
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 349200
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64500
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 200224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0