CMS Formulary

Displaying 32141-32150 of 1611142 results.
ID: 32141
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 199351
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32142
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 199352
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32143
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 198189
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32144
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 261962
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32145
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 199147
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32146
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 349491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32147
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32148
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1650030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32149
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 198201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32150
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 728109
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 84
Qty Limit Days: 180