CMS Formulary

Displaying 16391-16400 of 1611142 results.
ID: 16391
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2375329
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16392
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099302
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16393
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2003757
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16394
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2003767
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16395
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1797880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16396
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1113046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16397
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 863836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16398
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 863841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16399
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 863829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16400
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1373327
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0