CMS Formulary

Displaying 67841-67850 of 1611142 results.
ID: 67841
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1726639
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67842
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364362
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67843
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364358
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67844
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2473042
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67845
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049271
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67846
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049278
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67847
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 483427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67848
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 483425
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67849
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 309140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67850
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0