CMS Formulary

Displaying 65511-65520 of 1611142 results.
ID: 65511
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860157
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 65512
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860129
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 65513
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860137
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 65514
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860148
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 65515
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 835894
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65516
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 835925
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65517
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 241834
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65518
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1368954
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65519
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 349094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65520
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 351109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0