CMS Formulary

Displaying 68321-68330 of 1611142 results.
ID: 68321
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 686429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68322
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 284201
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 30
ID: 68323
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 351134
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 30
ID: 68324
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 314142
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 68325
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 311919
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 68326
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988308
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68327
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988311
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68328
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68329
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988319
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68330
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0