CMS Formulary

Displaying 65081-65090 of 1611142 results.
ID: 65081
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65082
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1992428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65083
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 213282
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65084
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 213283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65085
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 213284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65086
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 859865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65087
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 352297
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65088
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 731328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65089
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 404460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65090
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1593140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0