CMS Formulary

Displaying 71671-71680 of 1611142 results.
ID: 71671
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 349483
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 71672
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 349199
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 71673
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 349200
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 71674
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 200224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 71675
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 898350
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 71676
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 898353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 71677
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 898356
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 71678
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 898359
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 71679
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 898342
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 71680
Formulary ID: 00021025
Formulary Version: 14
Contract Year: 2021
RXCUI: 898346
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0