CMS Formulary

Displaying 16361-16370 of 1611142 results.
ID: 16361
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 762833
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16362
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 762836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16363
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 762839
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16364
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 762843
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16365
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 762875
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16366
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 762849
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16367
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 762852
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16368
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 762859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16369
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 762868
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16370
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 762897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0