CMS Formulary

Displaying 66481-66490 of 1611142 results.
ID: 66481
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 198223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66482
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 856364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66483
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 863636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66484
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 863619
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66485
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 863628
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66486
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314080
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66487
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1190655
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66488
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 545236
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66489
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1724340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66490
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1244616
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30