CMS Formulary

Displaying 65801-65810 of 1611142 results.
ID: 65801
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1298861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65802
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1298870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65803
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 856769
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65804
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65805
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 198284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65806
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65807
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65808
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 856792
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65809
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 198297
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 65810
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0