CMS Formulary

Displaying 16551-16560 of 1611142 results.
ID: 16551
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926069
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16552
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115259
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16553
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16554
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115464
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16555
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16556
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16557
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 727705
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16558
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1655728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16559
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 825170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16560
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801278
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0