CMS Formulary

Displaying 16161-16170 of 1611142 results.
ID: 16161
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044932
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 16162
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2049884
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 16163
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045959
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 16164
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045961
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 16165
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2045958
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 16166
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2055286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16167
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2265701
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16168
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283505
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16169
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283515
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 16170
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2283518
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28