CMS Formulary

Displaying 67191-67200 of 1611142 results.
ID: 67191
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2287905
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 67192
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2056700
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 30
ID: 67193
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1358775
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67194
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 751884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67195
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1011081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67196
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 700408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67197
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1112687
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 91
Qty Limit Days: 84
ID: 67198
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197654
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67199
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 748879
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67200
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 238153
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30