CMS Formulary

Displaying 16431-16440 of 1611142 results.
ID: 16431
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1437968
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16432
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1437969
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16433
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 897657
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1200
Qty Limit Days: 30
ID: 16434
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1049604
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1300
Qty Limit Days: 30
ID: 16435
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1874559
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16436
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1874553
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16437
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 900575
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16438
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 977427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16439
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 977434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16440
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 977438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0