CMS Formulary

Displaying 68261-68270 of 1611142 results.
ID: 68261
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1736656
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68262
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1806683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68263
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1806684
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68264
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1356074
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68265
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 748832
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68266
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1722680
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68267
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729516
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68268
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1485332
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68269
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1543553
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68270
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1422081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0