CMS Formulary

Displaying 67551-67560 of 1611142 results.
ID: 67551
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67552
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313217
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67553
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67554
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 260376
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67555
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 857706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67556
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359105
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67557
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 328161
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67558
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67559
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 861064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67560
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197787
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0