CMS Formulary

Displaying 16191-16200 of 1611142 results.
ID: 16191
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2199316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16192
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 206883
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16193
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2473107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16194
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 206902
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16195
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 483450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 16196
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 483438
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 16197
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 483440
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 16198
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 483444
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 16199
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2178403
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 16200
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2178405
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 16
Qty Limit Days: 28