CMS Formulary

Displaying 67801-67810 of 1611142 results.
ID: 67801
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 855861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67802
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67803
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 855873
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67804
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2360548
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67805
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 308989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67806
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 308988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67807
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67808
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67809
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67810
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356563
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30