CMS Formulary

Displaying 66771-66780 of 1611142 results.
ID: 66771
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 597974
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66772
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 597987
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66773
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 597977
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66774
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 597971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66775
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 403908
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66776
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 198038
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66777
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 198039
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66778
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 198040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66779
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 198430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66780
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 252478
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0