CMS Formulary

Displaying 66391-66400 of 1611142 results.
ID: 66391
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 349490
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 66392
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 349553
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 66393
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 349547
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 66394
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 730866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66395
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 730861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66396
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 730872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66397
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 856373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66398
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 900164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66399
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 850091
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66400
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 850087
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0