CMS Formulary

Displaying 66521-66530 of 1611142 results.
ID: 66521
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66522
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 406524
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66523
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 434018
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66524
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 799048
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66525
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66526
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66527
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66528
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66529
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66530
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0