CMS Formulary

Displaying 32271-32280 of 1611142 results.
ID: 32271
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1251336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32272
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 749157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32273
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 748798
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32274
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989507
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32275
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876920
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 32276
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876924
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 32277
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876916
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 32278
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1111642
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32279
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1487363
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 32280
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 308725
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 420
Qty Limit Days: 30