CMS Formulary

Displaying 16741-16750 of 1611142 results.
ID: 16741
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 310294
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 16742
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 314000
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16743
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 310536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16744
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 310539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16745
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1299903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16746
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2000695
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16747
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1299909
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16748
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197737
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16749
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 310534
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16750
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1362706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0