CMS Formulary

Displaying 68331-68340 of 1611142 results.
ID: 68331
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68332
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68333
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054979
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 68334
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054983
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 68335
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055016
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 68336
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055014
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 68337
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197701
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68338
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310433
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 68339
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310434
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 68340
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 403966
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0