CMS Formulary

Displaying 16721-16730 of 1611142 results.
ID: 16721
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 241834
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16722
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1368954
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16723
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 349094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16724
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 351109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16725
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1098666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16726
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1098678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16727
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 904467
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16728
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 904475
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16729
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1490065
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16730
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 199058
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0