CMS Formulary

Displaying 67881-67890 of 1611142 results.
ID: 67881
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1482517
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67882
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1482523
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67883
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1482527
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67884
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1235249
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67885
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1040036
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67886
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1431237
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67887
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1040043
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 67888
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1297357
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67889
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356693
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67890
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1442681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0