CMS Formulary

Displaying 67691-67700 of 1611142 results.
ID: 67691
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67692
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946772
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67693
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 198181
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67694
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 251322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67695
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 763457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67696
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653792
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67697
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1719766
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67698
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667666
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67699
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667670
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67700
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1667674
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30