CMS Formulary

Displaying 67311-67320 of 1611142 results.
ID: 67311
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313413
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67312
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314286
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67313
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313776
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67314
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313777
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67315
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313778
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67316
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 994005
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67317
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314214
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67318
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 312835
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67319
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314215
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67320
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 312836
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30