CMS Formulary

Displaying 68531-68540 of 1611142 results.
ID: 68531
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 197698
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68532
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 856783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68533
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607796
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68534
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607792
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68535
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1992873
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 25
ID: 68536
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2119706
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 25
ID: 68537
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 349287
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68538
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1927682
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 14
ID: 68539
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68540
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 313364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0