CMS Formulary

Displaying 65291-65300 of 1611142 results.
ID: 65291
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 616292
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 65292
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1357547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65293
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65294
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2478437
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65295
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099956
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 65296
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058926
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 65297
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047602
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 65298
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047608
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 65299
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047614
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 65300
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047596
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28