CMS Formulary

Displaying 68471-68480 of 1611142 results.
ID: 68471
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310003
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68472
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310004
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68473
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 310005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68474
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68475
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197682
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68476
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 866910
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68477
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 308867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68478
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1092357
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68479
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665473
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 68480
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1798370
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30