CMS Formulary

Displaying 66941-66950 of 1611142 results.
ID: 66941
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 729203
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66942
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1796079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66943
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1796083
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66944
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1433879
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66945
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1546894
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66946
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66947
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66948
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857925
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66949
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66950
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122526
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0