CMS Formulary

Displaying 70381-70390 of 1611142 results.
ID: 70381
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 597967
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 70382
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 597980
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 70383
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 597974
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 70384
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 597987
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 70385
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 597977
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 70386
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 597971
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 70387
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 403908
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 70388
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 198038
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 70389
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 198039
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 70390
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 198040
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0