CMS Formulary

Displaying 16401-16410 of 1611142 results.
ID: 16401
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 905164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16402
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 688242
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16403
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 208513
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16404
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 404550
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16405
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 150840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16406
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 208949
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16407
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 202301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16408
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16409
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000497
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16410
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1000499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0