CMS Formulary

Displaying 67671-67680 of 1611142 results.
ID: 67671
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000647
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67672
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000862
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67673
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67674
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67675
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 831109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67676
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 978573
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67677
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 308720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67678
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605071
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67679
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67680
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314072
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 25