CMS Formulary

Displaying 16351-16360 of 1611142 results.
ID: 16351
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 835721
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16352
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1046920
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1008
Qty Limit Days: 90
ID: 16353
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 404457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16354
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 404458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16355
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 404459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16356
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1549456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16357
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1549454
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16358
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 205562
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16359
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 763489
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16360
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 996559
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0