CMS Formulary

Displaying 66191-66200 of 1611142 results.
ID: 66191
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 702519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66192
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66193
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 885219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66194
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 885213
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66195
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197426
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 66196
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 859315
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 66197
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049635
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 66198
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 198086
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66199
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 199167
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66200
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 199164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0