CMS Formulary

Displaying 66501-66510 of 1611142 results.
ID: 66501
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1090641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66502
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 905222
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66503
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197855
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66504
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197856
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66505
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 897683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66506
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314184
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66507
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 311918
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 9
Qty Limit Days: 30
ID: 66508
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314135
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 9
Qty Limit Days: 30
ID: 66509
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66510
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 897722
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0