CMS Formulary

Displaying 16541-16550 of 1611142 results.
ID: 16541
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1921468
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16542
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 152971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16543
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2166143
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16544
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2196900
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16545
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1873087
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16546
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940709
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 28
ID: 16547
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1597388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16548
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 835896
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16549
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 835835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16550
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115468
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0