CMS Formulary

Displaying 67231-67240 of 1611142 results.
ID: 67231
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 403884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67232
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310599
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67233
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 856535
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67234
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 856569
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67235
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 856460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67236
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 856481
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67237
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 860654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67238
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 866144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67239
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 199450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67240
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 246172
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30