CMS Formulary

Displaying 67891-67900 of 1611142 results.
ID: 67891
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1442683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67892
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2101459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67893
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2101465
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67894
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926823
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 67895
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926827
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 20
Qty Limit Days: 30
ID: 67896
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1809513
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67897
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67898
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67899
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876674
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 67900
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1812434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0