CMS Formulary

Displaying 67531-67540 of 1611142 results.
ID: 67531
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359271
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67532
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 758555
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67533
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1052660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67534
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1250723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67535
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1600710
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67536
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999587
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 67537
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67538
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2373941
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67539
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049677
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67540
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 762675
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0