CMS Formulary

Displaying 16181-16190 of 1611142 results.
ID: 16181
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 208083
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16182
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054275
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 28
ID: 16183
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2275613
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16184
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272118
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16185
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272122
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16186
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272126
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16187
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2394947
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 16188
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16189
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199308
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16190
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199312
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0