CMS Formulary

Displaying 16791-16800 of 1611142 results.
ID: 16791
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 314055
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16792
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1655960
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16793
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 859824
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16794
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309101
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16795
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 835840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16796
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 835809
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 5
Qty Limit Days: 28
ID: 16797
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16798
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 308189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16799
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 313797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16800
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 239191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0