CMS Formulary

Displaying 68601-68610 of 1611142 results.
ID: 68601
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 848333
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 68602
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 848343
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 84
ID: 68603
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665906
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 68604
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665900
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 28
ID: 68605
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801322
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 7
Qty Limit Days: 28
ID: 68606
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2262446
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 68607
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 68608
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2274390
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 68609
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 2282320
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 30
ID: 68610
Formulary ID: 00021024
Formulary Version: 14
Contract Year: 2021
RXCUI: 1591943
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28