CMS Formulary

Displaying 16301-16310 of 1611142 results.
ID: 16301
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16302
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1992428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16303
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 213282
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16304
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 213283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16305
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 213284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16306
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 859865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16307
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 352297
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16308
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 731328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16309
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 404460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16310
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1593140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0