CMS Formulary

Displaying 68181-68190 of 1611142 results.
ID: 68181
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1490034
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 68182
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1490038
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 68183
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313580
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68184
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2257015
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68185
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044720
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 68186
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044726
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 68187
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044732
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 68188
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046376
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68189
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046380
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68190
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2046370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0