CMS Formulary

Displaying 67741-67750 of 1611142 results.
ID: 67741
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1044591
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67742
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 311192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67743
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 311197
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67744
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 311196
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67745
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 854868
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67746
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2001564
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67747
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1738803
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67748
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1738805
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67749
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1738807
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67750
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 897584
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0