CMS Formulary

Displaying 66531-66540 of 1611142 results.
ID: 66531
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66532
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66533
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66534
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66535
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 309044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66536
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313888
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66537
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 309042
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66538
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66539
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1012021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66540
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 849506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0