CMS Formulary

Displaying 16951-16960 of 1611142 results.
ID: 16951
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721583
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16952
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989109
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 16953
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2205634
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 16954
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2387331
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 28
ID: 16955
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486981
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16956
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486977
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 16957
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1940498
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 16958
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1593831
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 16959
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1593833
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 16960
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1593835
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30