CMS Formulary

Displaying 32291-32300 of 1611142 results.
ID: 32291
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 245723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32292
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 830861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32293
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 830845
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32294
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 830837
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32295
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 830801
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32296
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 352257
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 540
Qty Limit Days: 30
ID: 32297
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2393794
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 540
Qty Limit Days: 30
ID: 32298
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2121764
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32299
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 2173841
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32300
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1364477
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0