CMS Formulary

Displaying 68551-68560 of 1611142 results.
ID: 68551
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045959
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68552
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045961
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68553
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045958
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68554
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68555
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2265701
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 68556
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283505
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 68557
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283515
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 68558
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283518
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 68559
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283509
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68560
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283513
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30