CMS Formulary

Displaying 67791-67800 of 1611142 results.
ID: 67791
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 476345
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67792
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 476349
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67793
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 476350
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67794
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 476351
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67795
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 835829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67796
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 860975
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 67797
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 860981
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67798
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 312136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67799
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 312137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67800
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1299911
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0