CMS Formulary

Displaying 65531-65540 of 1611142 results.
ID: 65531
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197535
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 270
Qty Limit Days: 30
ID: 65532
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310295
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 65533
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310297
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 65534
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313992
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 65535
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313993
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 65536
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310293
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 65537
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310294
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 65538
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314000
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65539
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65540
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0