CMS Formulary

Displaying 67511-67520 of 1611142 results.
ID: 67511
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369736
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 67512
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940376
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67513
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940372
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67514
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2197501
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 67515
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2396770
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 28
ID: 67516
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2396774
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 28
ID: 67517
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2288433
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67518
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2288412
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67519
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2288431
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67520
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 727816
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28