CMS Formulary

Displaying 68271-68280 of 1611142 results.
ID: 68271
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1427300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68272
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 748800
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68273
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1599949
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 68274
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 848180
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68275
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 141850
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 68276
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197573
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 68277
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123072
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 17
Qty Limit Days: 30
ID: 68278
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68279
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314077
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68280
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 205326
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0