CMS Formulary

Displaying 68301-68310 of 1611142 results.
ID: 68301
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197412
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68302
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 312828
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68303
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 312829
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68304
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 312830
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68305
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 312831
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68306
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 312832
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68307
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314211
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68308
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 199890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68309
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 845488
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68310
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 861736
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30