CMS Formulary

Displaying 67651-67660 of 1611142 results.
ID: 67651
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67652
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67653
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67654
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1235150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67655
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1235157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67656
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310467
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67657
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 992395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67658
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67659
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 745462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67660
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0