CMS Formulary

Displaying 66981-66990 of 1611142 results.
ID: 66981
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 250820
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 66982
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 858751
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66983
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 858733
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66984
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 848943
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66985
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801279
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66986
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 207362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66987
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 403840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66988
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 207364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66989
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1146690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 66990
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 577776
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0