CMS Formulary

Displaying 32351-32360 of 1611142 results.
ID: 32351
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 197682
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32352
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 866910
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32353
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 308867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32354
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1092357
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 32355
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665473
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 32356
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1798370
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32357
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1798375
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 32358
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 200132
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 32359
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 199149
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 32360
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 199150
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30