CMS Formulary

Displaying 68591-68600 of 1611142 results.
ID: 68591
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2178407
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 32
Qty Limit Days: 28
ID: 68592
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2178409
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 20
Qty Limit Days: 28
ID: 68593
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2382991
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 28
ID: 68594
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2382993
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 68595
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272630
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68596
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272622
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68597
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68598
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68599
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2282414
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 68600
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283236
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30