CMS Formulary

Displaying 32031-32040 of 1611142 results.
ID: 32031
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1790317
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32032
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 727714
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32033
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 314230
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32034
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 861646
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32035
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 861650
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32036
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 861654
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32037
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123076
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 30
ID: 32038
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 349591
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32039
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 349592
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32040
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 349593
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30