CMS Formulary

Displaying 68101-68110 of 1611142 results.
ID: 68101
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 485465
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 68102
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 352066
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68103
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 656660
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68104
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989085
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 68105
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1442143
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 68106
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729053
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 68107
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729057
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68108
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729061
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68109
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729065
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68110
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729013
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30