CMS Formulary

Displaying 32201-32210 of 1611142 results.
ID: 32201
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 199890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32202
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 845488
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32203
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 861736
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 32204
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 861740
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 32205
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 312817
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32206
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 577315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32207
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 577317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32208
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 836395
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 32209
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 833234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32210
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 905158
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0