CMS Formulary

Displaying 67471-67480 of 1611142 results.
ID: 67471
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67472
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67473
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67474
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544390
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67475
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544394
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67476
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544396
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67477
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544398
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67478
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1544402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67479
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659818
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 67480
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659814
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28