CMS Formulary

Displaying 16981-16990 of 1611142 results.
ID: 16981
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197465
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 16982
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197466
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 16983
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 856720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16984
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 198286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16985
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1298857
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16986
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197464
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 16987
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 856840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16988
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1298861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16989
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1298870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 16990
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 314034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0