CMS Formulary

Displaying 64651-64660 of 1611142 results.
ID: 64651
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 197905
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64652
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 311353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64653
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 311354
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64654
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 197884
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64655
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 197885
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64656
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 197886
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64657
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 197887
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64658
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 314203
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64659
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 312749
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 64660
Formulary ID: 00021022
Formulary Version: 14
Contract Year: 2021
RXCUI: 199353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0