CMS Formulary

Displaying 65331-65340 of 1611142 results.
ID: 65331
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65332
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 835896
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65333
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 835835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65334
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115468
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65335
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926069
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65336
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115259
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65337
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65338
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115464
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65339
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65340
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0