CMS Formulary

Displaying 32121-32130 of 1611142 results.
ID: 32121
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 312940
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32122
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 309080
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32123
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 309081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32124
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197452
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32125
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197453
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32126
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 309110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32127
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 309113
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32128
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 200345
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32129
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197903
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32130
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197904
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0