CMS Formulary

Displaying 66871-66880 of 1611142 results.
ID: 66871
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 597768
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66872
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 597770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66873
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 597772
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66874
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 403975
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66875
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 259306
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66876
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1799654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66877
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 105292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66878
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1943345
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66879
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2053458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66880
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 199592
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28