CMS Formulary

Displaying 16501-16510 of 1611142 results.
ID: 16501
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1741049
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16502
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2273115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16503
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 616283
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16504
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2284106
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 21
Qty Limit Days: 28
ID: 16505
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 616287
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16506
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1541928
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16507
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 616292
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16508
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1357547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16509
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2048568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16510
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2478437
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0