CMS Formulary

Displaying 68251-68260 of 1611142 results.
ID: 68251
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 848145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68252
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 848151
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68253
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 848135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68254
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 854894
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 68255
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 854880
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 68256
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 672149
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68257
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 477347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68258
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 642452
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68259
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 602635
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68260
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1736654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0