CMS Formulary

Displaying 66451-66460 of 1611142 results.
ID: 66451
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 200064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66452
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 199224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66453
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66454
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 198377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66455
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 198378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66456
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1483744
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66457
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66458
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 721791
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 66459
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 721794
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 66460
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 721796
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30