CMS Formulary

Displaying 66571-66580 of 1611142 results.
ID: 66571
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 862019
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66572
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 862025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66573
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66574
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1737578
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66575
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66576
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659287
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66577
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 242800
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66578
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66579
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66580
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1361574
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0