CMS Formulary

Displaying 67351-67360 of 1611142 results.
ID: 67351
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2396905
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67352
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1492746
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67353
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 727542
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67354
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 727545
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67355
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605455
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67356
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649946
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67357
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649964
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67358
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 993456
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 180
ID: 67359
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1046402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67360
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0