CMS Formulary

Displaying 16761-16770 of 1611142 results.
ID: 16761
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 856556
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16762
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 856605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16763
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 903857
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16764
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 856656
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16765
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 856660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16766
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 856652
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16767
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 351133
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16768
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 313979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16769
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 834127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16770
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 141935
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0