CMS Formulary

Displaying 68561-68570 of 1611142 results.
ID: 68561
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283538
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68562
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68563
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283540
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68564
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 311944
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68565
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68566
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1999316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68567
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058520
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 68568
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2058525
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 68569
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 966607
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 68570
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 208083
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0