CMS Formulary

Displaying 65591-65600 of 1611142 results.
ID: 65591
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314055
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65592
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1655960
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65593
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 859824
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65594
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 309101
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65595
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 835840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65596
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 835809
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 5
Qty Limit Days: 28
ID: 65597
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65598
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 308189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65599
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65600
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 239191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0