CMS Formulary

Displaying 65281-65290 of 1611142 results.
ID: 65281
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 795735
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 336
Qty Limit Days: 365
ID: 65282
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 637190
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 336
Qty Limit Days: 365
ID: 65283
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 795737
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65284
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2284104
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 65285
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1741049
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65286
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2273115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65287
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 616283
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 65288
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2284106
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 65289
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 616287
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 65290
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1541928
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30