CMS Formulary

Displaying 16571-16580 of 1611142 results.
ID: 16571
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1012899
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16572
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1119402
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 28
Qty Limit Days: 28
ID: 16573
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310138
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 16574
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310144
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 16575
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1310147
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 16576
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364114
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 16577
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364118
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 16578
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364122
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 16579
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653243
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16580
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1599797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0