CMS Formulary

Displaying 32091-32100 of 1611142 results.
ID: 32091
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923828
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32092
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923826
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32093
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1490026
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 32094
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1490034
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 32095
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1490038
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 32096
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 313580
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32097
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2257015
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32098
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044720
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32099
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044726
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32100
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2044732
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30