CMS Formulary

Displaying 65781-65790 of 1611142 results.
ID: 65781
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1090639
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65782
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 800438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65783
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 800444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65784
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 801012
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65785
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 801000
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65786
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 801021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65787
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 801031
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65788
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 866924
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65789
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197465
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 65790
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197466
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30