CMS Formulary

Displaying 32021-32030 of 1611142 results.
ID: 32021
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729057
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32022
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729061
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32023
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729065
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32024
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729013
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32025
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729029
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32026
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729033
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32027
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729047
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32028
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1729076
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32029
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2261800
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 32030
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1799001
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0