CMS Formulary

Displaying 67821-67830 of 1611142 results.
ID: 67821
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604384
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67822
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67823
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67824
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1792393
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67825
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67826
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604352
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67827
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 825335
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67828
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 825333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67829
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 825325
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67830
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 825334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0